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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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"url": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships-0002/18-0177_US-MA/18-0177_US-MA_21/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930_00781.jpg",
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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)"
}