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1st cabin
If by Name of steamship line was
2d cabin
3d gabin
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 1 was coming to was
(Give name 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 5505COW
(City or town)
(Country)
I am
married. The name of my {
wife
is Heleni Wilczynskis
She
husband
He
}
was born at
paid Boland Glocgow
, and now resides at Polandsaid Poland
I am now a subject of and intend to renounce allegiance to
(Write name and title of sovereign and country of which now a subject;
Polish Sepublic
or, if citizen of a Republic, write name of Republic only)
I arrived at the United States Immigration port of
Hobeken, (City new gensy town)
or
naja
,
on may / 31 / 1906
(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
1406
(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
Daniel
e14-8
(Signature of applicant)
Wilesophise
GOVERNMENT PRINTING OFFICE
(OVER)
Page data
- Page
- 270
- Source index
- 0
- Type
- photo
- Media ID
- 00666eb8f56c6194
- 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 Name of steamship line was\n2d cabin\n3d gabin\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 1 was coming to was\n(Give name 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 5505COW\n(City or town)\n(Country)\nI am\nmarried. The name of my {\nwife\nis Heleni Wilczynskis\nShe\nhusband\nHe\n}\nwas born at\npaid Boland Glocgow\n, and now resides at Polandsaid Poland\nI am now a subject of and intend to renounce allegiance to\n(Write name and title of sovereign and country of which now a subject;\nPolish Sepublic\nor, if citizen of a Republic, write name of Republic only)\nI arrived at the United States Immigration port of\nHobeken, (City new gensy town)\nor\nnaja\n,\non may / 31 / 1906\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\n1406\n(Month) (Day) (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\nDaniel\ne14-8\n(Signature of applicant)\nWilesophise\nGOVERNMENT PRINTING OFFICE\n(OVER)"
}