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Page 644 of 1298
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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
My mother's maiden name was
margaret majver
My maiden name was (if woman)
anna of Blue
My post-office address is
Horwich state Hospital
The
ticket
on
which
I
came
to
this
country
was
bought
at
RiverDennis
Station
Nova
Scotia
(City)
(Country)
1st cabin
If arrival by ship: Name of steamship line was
2d cabin
3d cabin
I
arrived as (passenger, stowaway, seaman, member of crew, or otherwise) Passenger
(State which)
I traveled on (an immigration visa, a passport, a permit)
Permit
(State which)
I paid $8.00 head tax at
St. Johns n. B. Canadaon October 18 1917
(State amount)
(City)
(State or country)
(Month)
(Day)
(Year)
I was examined by immigration officers at
St John's n. B.
At that time I intended to remain (permanently, temporarily, for visit, in transit)
Temporarily
(State which)
The person coming
in the United States I was to was Mrs. Jessie Foster
(Give name in full)
The place in the United States I was going to was
Boston mass.
The names of some of the persons or passengers I traveled with were
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 st. Johns n. B.
Mexico
(c) On
October
18
1917
(Month)
(Day)
(Year)
(d) The place where I was examined for admission at the United States border was
St John's new Brunswick
(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
River Denni is Station
miss anna Blue
Certrude
GOVERNMENT PRINTING OFFICE
(OVER)
(Signature of applicant)
Page data
- Page
- 644
- Source index
- 0
- Type
- photo
- Media ID
- 44e79f86108ee1a2
- 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\nMy mother's maiden name was\nmargaret majver\nMy maiden name was (if woman)\nanna of Blue\nMy post-office address is\nHorwich state Hospital\nThe\nticket\non\nwhich\nI\ncame\nto\nthis\ncountry\nwas\nbought\nat\nRiverDennis\nStation\nNova\nScotia\n(City)\n(Country)\n1st cabin\nIf arrival by ship: Name of steamship line was\n2d cabin\n3d cabin\nI\narrived as (passenger, stowaway, seaman, member of crew, or otherwise) Passenger\n(State which)\nI traveled on (an immigration visa, a passport, a permit)\nPermit\n(State which)\nI paid $8.00 head tax at\nSt. Johns n. B. Canadaon October 18 1917\n(State amount)\n(City)\n(State or country)\n(Month)\n(Day)\n(Year)\nI was examined by immigration officers at\nSt John's n. B.\nAt that time I intended to remain (permanently, temporarily, for visit, in transit)\nTemporarily\n(State which)\nThe person coming\nin the United States I was to was Mrs. Jessie Foster\n(Give name in full)\nThe place in the United States I was going to was\nBoston mass.\nThe names of some of the persons or passengers I traveled with were\nADDITIONAL FACTS TO BE GIVEN IF ALIEN CAME FROM OR THROUGH CANADA OR MEXICO:\n(a) The place in Canada where I landed was\non\n(Month)\n(Day)\n(Year)\n{\nCanada\n(b) The place in\nfrom which I entered the United States was st. Johns n. B.\nMexico\n(c) On\nOctober\n18\n1917\n(Month)\n(Day)\n(Year)\n(d) The place where I was examined for admission at the United States border was\nSt John's new Brunswick\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\nRiver Denni is Station\nmiss anna Blue\nCertrude\nGOVERNMENT PRINTING OFFICE\n(OVER)\n(Signature of applicant)"
}