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1st cabin
2d cabin
3 not
If by ship: Name of steamship line was
3d cabin
I arrived as (passenger, stowaway, seaman, member of crew, or otherwise)
Passanger
(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
Ellis Triand
At that time I intended to remain (permanently, temporarily, for visit, in transit)
The person in the United States I was coming to was
Antom Krukauska
Tustay
(State which)
(Give name in full)
The place in the United States I was going to was
Morwich Come
The names of some of the persons or passengers I traveled with were
Dont know any
said
My last place of foreign residence was
Ostrolenka
Poland
(City or town)
(Country)
I am
married. The name of my
{
wife
is Antonina Lebry
She
was born at
husband
He
Siarki Paland
, and now resides at R.E.P. 4. said Priston
I
am now a subject of and intend to renounce allegiance to Republic (Write name and title of of sovereign Poland 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 (City or town) N.Y
New York (State
,
on
or territory)
4th of (Give exact/month, day, and 1913 year)
August
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
GOVAROMMENT FRANTING OFFION
e14-8
(Signature of applicant)
(OVER)
Page data
- Page
- 5
- Source index
- 0
- Type
- photo
- Media ID
- 686ff69ad08818ba
- 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\n2d cabin\n3 not\nIf by ship: Name of steamship line was\n3d cabin\nI arrived as (passenger, stowaway, seaman, member of crew, or otherwise)\nPassanger\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) (Day) (Year)\nI was examined by immigration officers at\nEllis Triand\nAt that time I intended to remain (permanently, temporarily, for visit, in transit)\nThe person in the United States I was coming to was\nAntom Krukauska\nTustay\n(State which)\n(Give name in full)\nThe place in the United States I was going to was\nMorwich Come\nThe names of some of the persons or passengers I traveled with were\nDont know any\nsaid\nMy last place of foreign residence was\nOstrolenka\nPoland\n(City or town)\n(Country)\nI am\nmarried. The name of my\n{\nwife\nis Antonina Lebry\nShe\nwas born at\nhusband\nHe\nSiarki Paland\n, and now resides at R.E.P. 4. said Priston\nI\nam now a subject of and intend to renounce allegiance to Republic (Write name and title of of sovereign Poland and country of which now\na subject;\nor, if citizen of a Republic, write name of Republic only)\nI arrived at the United States Immigration port of\nNew (City or town) N.Y\nNew York (State\n,\non\nor territory)\n4th of (Give exact/month, day, and 1913 year)\nAugust\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\n}\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\nGOVAROMMENT FRANTING OFFION\ne14-8\n(Signature of applicant)\n(OVER)"
}