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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 name person on my was
full of the shown steamship ticket Prascott Gordon Brown
My mother's maiden name was
maggie Viola Pan
My maiden name was (if woman)
My post-office address is
292 requot ave. have London born.
The ticket on which I came to this country was bought at
Hantsport (City) Hants (Country) ba
N.S.
1st cabin
If arrival by ship: Name of steamship line was Boston & yarmouth
2d cabin
lat. cavin
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)
a permit
(State which)
I paid (State amount) head tax at yarmouth, (City) (State or country) bohs on 20th. (Day) (Year) 1922
Eightfulla
yarmouth
I was examined by immigration officers at
yarmouth
At that time I intended to remain (permanently, temporarily, for visit, in transit)
Visit
(State which)
The was to was
person in the United States I coming ms to illiam (Give name Polf in full)
The place in the United States I was going to was
how Sondon. bonn.
The
names
of
some
of
the persons or passengers I traveled with were H arbert In ilcox
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)
(b) The place in
I
Canada
from
Mexico
which I entered the United States was yarmouth his
(c) On June (Month)
20th
1922
(Day)
(Year)
(d) was at was
The place where I examined for admission the United States border
(e) If not examined, state why, and give the circumstances of your entry
(f) The place in
{
Canada
Mexico
where I bought my railroad ticket to come to the United States was dantsport nes,
D'vescott Gordon Brown
GOVERNMENT PRINTING OFFICE 14-8
(OVER)
(Signature of applicant)
Page data
- Page
- 807
- Source index
- 0
- Type
- photo
- Media ID
- a693a0fe6c8cdcaf
- 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 name person on my was\nfull of the shown steamship ticket Prascott Gordon Brown\nMy mother's maiden name was\nmaggie Viola Pan\nMy maiden name was (if woman)\nMy post-office address is\n292 requot ave. have London born.\nThe ticket on which I came to this country was bought at\nHantsport (City) Hants (Country) ba\nN.S.\n1st cabin\nIf arrival by ship: Name of steamship line was Boston & yarmouth\n2d cabin\nlat. cavin\n3d cabin\nI arrived as (passenger, stowaway, seaman, member of crew, or otherwise)\nPassenger\n(State which)\nI traveled on (an immigration visa, a passport, a permit)\na permit\n(State which)\nI paid (State amount) head tax at yarmouth, (City) (State or country) bohs on 20th. (Day) (Year) 1922\nEightfulla\nyarmouth\nI was examined by immigration officers at\nyarmouth\nAt that time I intended to remain (permanently, temporarily, for visit, in transit)\nVisit\n(State which)\nThe was to was\nperson in the United States I coming ms to illiam (Give name Polf in full)\nThe place in the United States I was going to was\nhow Sondon. bonn.\nThe\nnames\nof\nsome\nof\nthe persons or passengers I traveled with were H arbert In ilcox\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-\n, on\n(Month) (Day) (Year)\n(b) The place in\nI\nCanada\nfrom\nMexico\nwhich I entered the United States was yarmouth his\n(c) On June (Month)\n20th\n1922\n(Day)\n(Year)\n(d) was at was\nThe place where I examined for admission the United States border\n(e) If not examined, state why, and give the circumstances of your entry\n(f) The place in\n{\nCanada\nMexico\nwhere I bought my railroad ticket to come to the United States was dantsport nes,\nD'vescott Gordon Brown\nGOVERNMENT PRINTING OFFICE 14-8\n(OVER)\n(Signature of applicant)"
}