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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) (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 person in the United States I was coming to was (Give name in full) The place in the United States I was going to was The names of some of the persons or passengers I traveled with were My last place of foreign residence was said (City or town) Riagan (Country) I am married. The name of my { wife is Rose She hrusband He } was born at Russia , and now resides at said bis-Hampitants I am now a renounce subject of and intend to allegiance to the (Write and title of sovereign and country of which subject; State flussia name now a or, if citizen of a Republic, write name of Republic only) I arrived at the United States Immigration port of new (City town) or newyork York on (Give exact month, day, and 1910 year) (State territory) or 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 GOVERNMENT PRINTING e14-8 (Signature of applicant) (OVER)

Page data

Page
122
Source index
0
Type
photo
Media ID
907bf3baa409d09b
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)\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 person in the United States I was coming to was\n(Give name in full)\nThe place in the United States I was going to was\nThe names of some of the persons or passengers I traveled with were\nMy last place of foreign residence was said (City or town) Riagan\n(Country)\nI am\nmarried. The name of my\n{\nwife\nis Rose\nShe\nhrusband\nHe\n}\nwas born at\nRussia , and now resides at said bis-Hampitants\nI am now a renounce\nsubject of and intend to allegiance to the (Write and title of sovereign and country of which subject;\nState flussia\nname now a\nor, if citizen of a Republic, write name of Republic only)\nI arrived at the United States Immigration port of\nnew (City town)\nor\nnewyork\nYork\non\n(Give exact month, day, and 1910 year)\n(State territory)\nor\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\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\nGOVERNMENT PRINTING\ne14-8\n(Signature of applicant)\n(OVER)"
}