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{
    "localId": "159596813",
    "label": "File numbers 4874 - 5509, 1926-1930",
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    "id": "159596813",
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    "contentType": "document",
    "title": "File numbers 4874 - 5509, 1926-1930",
    "citationUrl": "https://catalog.archives.gov/id/159596813",
    "collections": [
        "Naturalization Records of Non-Federal Courts in Connecticut",
        "Applications for Declaration of Intention"
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{
    "seq": 903,
    "pageIndex": 0,
    "type": "photo",
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    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5326\nU. S. DEPARTMENT OF LABOR\nNOT TO BE FILLED IN BY ALIEN\nFOR USE OF OFFICIALS SEARCHING IMMI-\nNATURALIZATION SERVICE\nGRATION RECORDS\nCLERK OF COURT:\nRECORDS EXAMINED\nPlace number\nin\nCARD INDEX\nupper left-hand corner of all copies of\ndeclaration, immediately under your\nINDEX BOOKS\ndeclaration number.\nDISTRICT DIRECTOR OF NATURALIZATION\nMANIFESTS\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\n64\nMy name is\nMrs.\n/\nOtis Hing Douglas\n;\nage, years.\n(Alien should print or typewrite here true, original, and correct name)\nsighy four\nMiss\n(Give age last bipthday)\nMy present occupation is\nBlacksmith\nMy personal description is: Color, white; complexion, fair\n; height, silf feet -\ninches;\nweight, 170 pounds; color of hair, signature color of eyes, Blur\n;\nI\nwas born in maintaid noun Seaten Hanto Co, anader\nother visible distinctive marks: Right littings crooked\n23\n(City or town)\n(Country)\non the Sweaty strately of October\n, 1863\nMy present residence is West new Bonelen Come\nmystic,\nGroton,\n(Number and street)\n(City or town)\n(County)\n(State)\nThe place where ship or me States was\nI took the train which landed in the United Shubenacadins\n17th\nnoua Sevtin Canada , on September (Month) monday (Day) (Year) 1881\nMy last place of foreign residence was Selma N.S.\nThe name of the ship or railroad on which I came was Interconolial Rd Railway\nCanada\n(City or town)\n(Country)\nwife\nI am\nhusband\nJessie measure\nShe\nmarried. The name of my\nis\n}\nwas born at\nHe\nKenneteook n.s. , and now resides said at tuest supstic\nGreat Briton\nI am now a subject of and intend to renounce allegiance to\n(Write name and title of sovereign and country of which now a subject;\nor,\nI arrived at the United States immigration port of main\nif citizen of a republic, write name of republic only) fanceboro, Bast\n(City or town)\nmaine\n,\n(State or territory)\non September 14-8 (Give 19th month, day, 1881 and year)\nexact\n(OVER)"
}