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File numbers 4874 - 5509, 1926-1930

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brunps 1st cabin If by ship: Name of steamship line was 2d cabin 3d cabin 3rd I arrived as (passenger, stowaway, seaman, member of crew, or otherwise) (State whigh) passager I traveled on (an immigration visa, a passport, a permit) permiss (State which) I paid no head tax I was examined (State amount) by immigration officers at (City) Ellis (State or country) , on u (Month) 4, (Day) at Island, (Year) At that time I intended to remain (permanently, temporarily, for visit, in transit) (State which) The was was person in the United States I coming to Johi (Give in full) Szalling permanancy name The place in the United States I was going to was Waspesh, The names of some of the persons or passengers I traveled with were and Inlar Szanborg said My last place of foreign residence was (City or town) Prepan (Country) Palaur -r Lawrerek I yes RusPaland { wife husband and now is said resides at 21 Hukex His He She Honorid was born at am married. The name of my fough I subject of and intend to allegiance to Rep Write Polance name and title of sovereign and country of which am now a renounce now a subject; I or, arrived if citizen at of a the Republic, United write name States of Republic Immigration only) port of Nour York (City or town) but on Dec 24 , 1911 (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 (f) The place in { Canada Mexico where I bought my railroad ticket to come to the United States was Pe Jetwonlla (Signature of applicant) GOVBRIVMENT PRINTING ornom e14-8 (OVER)

Page data

Page
276
Source index
0
Type
photo
Media ID
a35b68c60c42f10e
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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}