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I have not used another name in this country than that given at the beginning of this form. If so, it was
I used that name because
The full name of the person shown on my steamship ticket was mary Alice Hershow
My mother's maiden name was
My maiden name was (if woman)
Mary Alie Alice Sugh Semmer
My post-office address is
The ticket on which I came to this country was bought at
Leeds
(City)
England
(Countly)
If arrival by ship: Name of steamship line was While Stin Line
lot cabin
2d cabin
3d cabin
I arrived as (passenger, stowaway, seaman, member of crew, or otherwise)
Sassanger
(State which
I traveled (an immigration visa, passport, permit) immigration (State which)
on a a
Fusa
I paid 21.15.0 head tax at Leeds
(State amount)
(City)
England
, on how 20th 1926
(State or country)
(Month)
(Day)
(Year)
I was examined by immigration officers at
Livertrool England
At that time I
intended to remain (permanently, temporarily, for visit, in transit) (State which)
The person in the United States I was coming to was John Sate
Permanently
(Give name in full)
The place in the United States I was going to was proton Connecticut
The names of some of the persons or passengers I traveled with were
ma * 4gs of Wood
Mys It Appear Moloney
ADDITIONAL FACTS TO BE GIVEN IF ALIEN AME 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
SOVERNMENT PRENTING OFFICE 14-8
(OVER)
many thice (Signature of applicant) Pershow
Page data
- Page
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- Source index
- 0
- Type
- photo
- Media ID
- dfd571178eaadf12
- 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": "I have not used another name in this country than that given at the beginning of this form. If so, it was\nI used that name because\nThe full name of the person shown on my steamship ticket was mary Alice Hershow\nMy mother's maiden name was\nMy maiden name was (if woman)\nMary Alie Alice Sugh Semmer\nMy post-office address is\nThe ticket on which I came to this country was bought at\nLeeds\n(City)\nEngland\n(Countly)\nIf arrival by ship: Name of steamship line was While Stin Line\nlot cabin\n2d cabin\n3d cabin\nI arrived as (passenger, stowaway, seaman, member of crew, or otherwise)\nSassanger\n(State which\nI traveled (an immigration visa, passport, permit) immigration (State which)\non a a\nFusa\nI paid 21.15.0 head tax at Leeds\n(State amount)\n(City)\nEngland\n, on how 20th 1926\n(State or country)\n(Month)\n(Day)\n(Year)\nI was examined by immigration officers at\nLivertrool England\nAt that time I\nintended to remain (permanently, temporarily, for visit, in transit) (State which)\nThe person in the United States I was coming to was John Sate\nPermanently\n(Give name in full)\nThe place in the United States I was going to was proton Connecticut\nThe names of some of the persons or passengers I traveled with were\nma * 4gs of Wood\nMys It Appear Moloney\nADDITIONAL FACTS TO BE GIVEN IF ALIEN AME 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\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\nSOVERNMENT PRENTING OFFICE 14-8\n(OVER)\nmany thice (Signature of applicant) Pershow"
}