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Naturalization ID: Court Location: Court Type: Court Description: Form Type: Form Number: Form Date: Name: Immigrant ID: STAT-13OCT1903-3-CCC-0002 PFRD-05MAY1913-3-55-0016 LEVI-09JUN1930-3-8-0002 Birth Date: Birth Place: Occupation: Marital Status: Height / Weight: / Eye Color / Hair Color: / Residence Address: Last Foreign Residence: Emigrated From (Date): Arrival Port (Date): Ship Name: Declaration Date / Number / Location / Court: / / / Marriage Date: Marriage Place: Spouse Name: Spouse Immigrant ID: Spouse Birth Date: Spouse Birth Place: Spouse Naturalization Date / Certificate / Location: / / Residency Location (Date): 1st Witness Name / Occupation / Residence: / / 2nd Witness Name / Occupation / Residence: / / Petition Outcome / Date / Certificate: / / Comments:no children / heretofore made petition for citizenship on 23-Jun-1923 at Worcester, MA (Superior Court), reason for denial: claimed exemption as an alien under the draft law (Class 5F)