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I have not used another name in this country than that given at the beginning of this form. If so, it was I used that name because The full name of the person shown on my steamship ticket was anibal Souga Calours. My mother's maiden name was My mothers maiden name was (if woman) Julia Encomacas m iranda. My post-office address is 6 gold street, Strington Conn. The ticket on which I came to this country was bought at Pata Dilgada (City) Pertugal (Country) arrival by ship: Name of steamship line was 20 hite Star Line 1st cabin If 22 cabin 3d 3d cabin I arrived as (passenger, stowaway, seaman, member of crew, or otherwise) passengen. (State which) I traveled on (an immigration visa, a passport, a permit) pasipart. (State which) I paid no head tax at , on (State amount) (City) (State or country) (Month) (Day) (Year) I was examined by immigration officers at abouns hip At that time I intended to remain for (permanently, temporarily, visit, in transit) (Stato which) The person in the United States I was coming to was manual (Give name in full) Lung permanently The place in the United States I going to Storington, Conn was was The names of some of the persons or passengers I traveled with were satirs gilberts marchadi, antonio Dias Branco. 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 Amild Inves Caleura GOVERNMENT PRMNTING OFFICE 14-8 (OVER) (Signature of applicant)

Page data

Page
1227
Source index
0
Type
photo
Media ID
5bb47f39e27f0c54
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 extras
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Page context
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    "ocrText": "I have not used another name in this country than that given at the beginning of this form. If so, it was\nI used that name because\nThe full name of the person shown on my steamship ticket was anibal Souga Calours.\nMy mother's maiden name was\nMy mothers maiden name was (if woman) Julia Encomacas m iranda.\nMy post-office address is\n6 gold street, Strington Conn.\nThe\nticket on which I came to this country was bought at Pata Dilgada (City) Pertugal (Country)\narrival by ship: Name of steamship line was 20 hite Star Line\n1st cabin\nIf\n22 cabin\n3d\n3d cabin\nI arrived as (passenger, stowaway, seaman, member of crew, or otherwise)\npassengen.\n(State which)\nI traveled on (an immigration visa, a passport, a permit)\npasipart.\n(State which)\nI paid no head 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\nabouns hip\nAt that time I intended to remain for\n(permanently, temporarily, visit, in transit) (Stato which)\nThe person in the United States I was coming to was manual (Give name in full)\nLung\npermanently\nThe place in the United States I going to Storington, Conn\nwas was\nThe names of some of the persons or passengers I traveled with were satirs gilberts\nmarchadi, antonio Dias Branco.\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)\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\nAmild Inves Caleura\nGOVERNMENT PRMNTING OFFICE\n14-8\n(OVER)\n(Signature of applicant)"
}