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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
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Size
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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 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)"
}