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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)"
}