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zzmal
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 on ship
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 The family
said
My last place of foreign residence was
A
Sunialki
Poland
(City or town)
wife
I am
married. The name of my
husband
Bronislawa said Majthiering (Country)
She
is
was born at
He-
Poland
, and now resides at
61 Seventhst Norwich Com
I am now a renounce
subject of and intend to allegiance to the Republic and title
Russia
Moland
(Write name of sovereign and country of which now a subject;
or, if citizen of a Republic, write name of Republic only)
I arrived at the United States Immigration port of
new book
New Morta (City
or town)
,
on
(State or territory)
about (Give may exact month, 29. day, th and 1891. year)
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
GOVRANMENT PRINITNO
c14-8
(Signature of applicant)
(OVER)
Page data
- Page
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- Source index
- 0
- Type
- photo
- Media ID
- fa798fcad1d81a38
- Size
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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": "zzmal\n1st 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\nwas examined by immigration officers on ship\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\nnames of some of the persons or passengers I traveled with were The family\nsaid\nMy last place of foreign residence was\nA\nSunialki\nPoland\n(City or town)\nwife\nI am\nmarried. The name of my\nhusband\nBronislawa said Majthiering (Country)\nShe\nis\nwas born at\nHe-\nPoland\n, and now resides at\n61 Seventhst Norwich Com\nI am now a renounce\nsubject of and intend to allegiance to the Republic and title\nRussia\nMoland\n(Write name of sovereign and country of which now a subject;\nor, if citizen of a Republic, write name of Republic only)\nI arrived at the United States Immigration port of\nnew book\nNew Morta (City\nor town)\n,\non\n(State or territory)\nabout (Give may exact month, 29. day, th and 1891. year)\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\nf The place in\nMexico\nwhere I bought my railroad ticket to come to the United States was\nGOVRANMENT PRINITNO\nc14-8\n(Signature of applicant)\n(OVER)"
}