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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 was ticket Abraham Burstein My mother's maiden name was Rachael, Pearl Sucharevitch My maiden name was (if woman) My post-office address is R.v.Box 61 Colchesty b The ticket which I to this country bought at Rotterdam Holland on came was (City) (Country) arrival by ship: Name of steamship line was Holland american let cabim If 2d cabin 3d cabin I arrived as (passenger, stowaway seaman, member of crew, or otherwise) (State which) passenger I traveled on (an immigration visa, a passport, a permit) bastle Garden (State which) I paid (State or amount) head tax at (City) leastle (State on country) my , on Dug (Month) (Day) 7 (Year) 1899 I was examined by immigration officers at Garden At that time I intended to remain (permanerthy, temporarily, for visit, in transit) The person in the United States I was coming to was Harris Funkelstein permanelly (State which) (Give name in full) The place in the United States I was going to was Brookly n.y. The names of some of the persons or passengers I traveled with were Dont recall 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 almohan Bumetem GOVIRNIMENT PRINTING OFFICE 14-8 (OVER) (Signature of applicant)

Page data

Page
781
Source index
0
Type
photo
Media ID
801d8ff015a1682c
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\nhave 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 was\nticket Abraham Burstein\nMy mother's maiden name was Rachael, Pearl Sucharevitch\nMy maiden name was (if woman)\nMy post-office address is\nR.v.Box 61 Colchesty b\nThe ticket which I to this country bought at Rotterdam Holland\non came was\n(City)\n(Country)\narrival by ship: Name of steamship line was Holland american\nlet cabim\nIf\n2d cabin\n3d cabin\nI\narrived as (passenger, stowaway seaman, member of crew, or otherwise) (State which)\npassenger\nI traveled on (an immigration visa, a passport, a permit)\nbastle Garden\n(State which)\nI paid (State or amount) head tax at (City) leastle (State on country) my , on Dug (Month) (Day) 7 (Year) 1899\nI\nwas examined by immigration officers at\nGarden\nAt that time I intended to remain (permanerthy, temporarily, for visit, in transit)\nThe person in the United States I was coming to was\nHarris\nFunkelstein\npermanelly\n(State which)\n(Give name in full)\nThe place in the United States I was going to was\nBrookly n.y.\nThe names of some of the persons or passengers I traveled with were\nDont recall\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\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\nalmohan Bumetem\nGOVIRNIMENT PRINTING OFFICE 14-8\n(OVER)\n(Signature of applicant)"
}