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1st cabin
If by ship: Name of steamship line was
2d cabin
3d cabin
I arrived as (passenger, stowaway, seaman, member of crew, or otherwise) as
Passanger
(State which)
I traveled on (an immigration visa, a passport, a permit)
(State which)
I paid
head tax at
, on
(State amount)
(City)
(State or country)
(Month)
(Day)
(Year)
I was examined by immigration officers at
At that time I intended to remain (permanently, temporarily, for visit, in transit)
(State which)
The was was
person in the United States I coming to Stonislaw (Give
Sewagy
name in full)
The
place in the United States I was going to was new London
The names of some of the persons or passengers I traveled with were
My last place of foreign residence was
Dembniki
Poland
(City or town)
(Country)
wife
I
husband
is gozef Rybicki
She
am The name of my
was born at
He
nichodam Poland
,
and now resides at 91/2 Harrison St. newLondon,
I am now a renounce
subject of and intend to allegiance to Republic of Paland and of which
(Write name and title of soyereign country now a subject;
or, if citizen of a Republic, write name of Republic only)
I
arrived at the United States Immigration port of new york
(City or
N.Y.
(Give exact month, Day Remember day, and year)
Donot town)
(State or territory)
on July
ADDITIONAL FACTS TO BE GIVEN IF ALIEN CAME From OR THROUGH CANADA OR MEXICO:
(a) The place in Canada where I landed was
, on
(Month)
(Day)
(Year)
{
Canada
(b) The place in
}
from which I entered the United States was
Mexico
(c) On
(Month)
(Day)
(Year)
(d) The place where I was examined for admission at the United States border was
(e) If not examined, state why, and give the circumstances of your entry
Canada
(f) The place in
Mexico
where I bought my railroad ticket to come to the United States was
GOVRRNMENT PRENTING OFFICE
e14-8
(Signature of applicant)
(OVER)
Page data
- Page
- 1191
- Source index
- 0
- Type
- photo
- Media ID
- 6a20c2feea16676c
- Size
- unknown
Document data
- ID
- 159596813
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
Document identity
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Document source metadata
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Document source extras
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Page context
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"ocrText": "1st cabin\nIf by ship: Name of steamship line was\n2d cabin\n3d cabin\nI arrived as (passenger, stowaway, seaman, member of crew, or otherwise) as\nPassanger\n(State which)\nI traveled on (an immigration visa, a passport, a permit)\n(State which)\nI paid\nhead tax at\n, on\n(State amount)\n(City)\n(State or country)\n(Month)\n(Day)\n(Year)\nI was examined by immigration officers at\nAt that time I intended to remain (permanently, temporarily, for visit, in transit)\n(State which)\nThe was was\nperson in the United States I coming to Stonislaw (Give\nSewagy\nname in full)\nThe\nplace in the United States I was going to was new London\nThe names of some of the persons or passengers I traveled with were\nMy last place of foreign residence was\nDembniki\nPoland\n(City or town)\n(Country)\nwife\nI\nhusband\nis gozef Rybicki\nShe\nam The name of my\nwas born at\nHe\nnichodam Poland\n,\nand now resides at 91/2 Harrison St. newLondon,\nI am now a renounce\nsubject of and intend to allegiance to Republic of Paland and of which\n(Write name and title of soyereign country now a subject;\nor, if citizen of a Republic, write name of Republic only)\nI\narrived at the United States Immigration port of new york\n(City or\nN.Y.\n(Give exact month, Day Remember day, and year)\nDonot town)\n(State or territory)\non July\nADDITIONAL FACTS TO BE GIVEN IF ALIEN CAME From OR THROUGH CANADA OR MEXICO:\n(a) The place in Canada where I landed was\n, on\n(Month)\n(Day)\n(Year)\n{\nCanada\n(b) The place in\n}\nfrom which I entered the United States was\nMexico\n(c) On\n(Month)\n(Day)\n(Year)\n(d) The place where I was examined for admission at the United States border was\n(e) If not examined, state why, and give the circumstances of your entry\nCanada\n(f) The place in\nMexico\nwhere I bought my railroad ticket to come to the United States was\nGOVRRNMENT PRENTING OFFICE\ne14-8\n(Signature of applicant)\n(OVER)"
}