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1st cabin If by shin 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 VIST in transit) (State which) The person in the United States 1 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 said Stanislawowo Polond My last place of foreign residence was (City or town) (Country) wife I am married. The name of my is Victor Gaska She was born at husband said He Poland , and now resides at 40 Eastern Ave , I am now a subject of and intend to renounce allegiance to Republic of Poland (Write name and title 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 York N.Y. (City or town) , 0727 98 of Ochrober 1913 (State or territory) (Give exact month, day, 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 Alice Gaska GOVERNMENT PRINTING office e14-8 (Signature of applicant) (OVER)

Page data

Page
202
Source index
0
Type
photo
Media ID
43d63217c82e222c
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 shin 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 VIST in transit)\n(State which)\nThe person in the United States 1 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\nsaid\nStanislawowo\nPolond\nMy last place of foreign residence was\n(City or town)\n(Country)\nwife\nI am\nmarried. The name of my\nis Victor Gaska\nShe\nwas born at\nhusband\nsaid\nHe\nPoland\n, and now resides at 40 Eastern Ave\n,\nI am now a subject of and intend to renounce allegiance to\nRepublic of Poland\n(Write name and title 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 York N.Y.\n(City or town)\n, 0727 98 of Ochrober 1913\n(State or territory)\n(Give exact month, day, 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\nAlice Gaska\nGOVERNMENT PRINTING office\ne14-8\n(Signature of applicant)\n(OVER)"
}