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1st cabin
If by ship: Name of steamship line was
2d cabin
3rdcabe
3d cabin
I arrived
as (passenger, stowaway, seaman, member of crew, or otherwise) (State whion)
passurge
I traveled on a a
(an immigration visa, passport, permit) permist
(State which)
I paid
no head tax at
on
I
was examined (State amount) I by immigration remain officers at (City) Ellis (State for or country in u. ((Month) (Day) (Year)
Island,
At that time to
intended (permanently, temporarily, visit, transit)
The person coming
in the United States I was to was lasimir Cholor
(State which)
(Give name in full)
The was was
names of some of the persons or passengers I traveled with were do not remented
place in the United States I going to Yourter, leome
The
my names
My last place of foreign
residence said was wife (City or town) Palmara (Country) She
I au yes married. The name of my
is Trukop
was born at
husband
He
Bidory, Suwalks, Palaul and Bosenel an,
now resides at 342 Thounch
I am now a subject of and intend to renounce allegiance to (Write name and title Palaud of sovereign and country of which
now a subject;
if citizen of a Republic, write name of Republic only)
I or, arrived at the United States Immigration port of new York (City or 41 town)
(State or territory)
, on 10th of april (Give exact month, day, 1912 and 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
Febr12
Dominik Cholodowaki
GOVIBNHENT PRINTING OFNICE
e14-8
(Signature of applicant)
(OVER)
Page data
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- Source index
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- Type
- photo
- Media ID
- 8eac813960fd5a3f
- 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": "1st cabin\nIf by ship: Name of steamship line was\n2d cabin\n3rdcabe\n3d cabin\nI arrived\nas (passenger, stowaway, seaman, member of crew, or otherwise) (State whion)\npassurge\nI traveled on a a\n(an immigration visa, passport, permit) permist\n(State which)\nI paid\nno head tax at\non\nI\nwas examined (State amount) I by immigration remain officers at (City) Ellis (State for or country in u. ((Month) (Day) (Year)\nIsland,\nAt that time to\nintended (permanently, temporarily, visit, transit)\nThe person coming\nin the United States I was to was lasimir Cholor\n(State which)\n(Give name in full)\nThe was was\nnames of some of the persons or passengers I traveled with were do not remented\nplace in the United States I going to Yourter, leome\nThe\nmy names\nMy last place of foreign\nresidence said was wife (City or town) Palmara (Country) She\nI au yes married. The name of my\nis Trukop\nwas born at\nhusband\nHe\nBidory, Suwalks, Palaul and Bosenel an,\nnow resides at 342 Thounch\nI am now a subject of and intend to renounce allegiance to (Write name and title Palaud of sovereign and country of which\nnow a subject;\nif citizen of a Republic, write name of Republic only)\nI or, arrived at the United States Immigration port of new York (City or 41 town)\n(State or territory)\n, on 10th of april (Give exact month, day, 1912 and 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)\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\nFebr12\nDominik Cholodowaki\nGOVIBNHENT PRINTING OFNICE\ne14-8\n(Signature of applicant)\n(OVER)"
}