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not ezhand
I
have
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 Stanista Jarasqhiemity
My mother's maiden name was
Jeresa Suchocha
My maiden name was (if woman)
My post-office address is
34 White St. Normish, Come
The ticket on which I came
to this country was bought at Wilkalang (City) Pa. (Country) U.S.a.
S S. America
1st cabin
If arrival by ship: Name of steamship line was
adcabin
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)
passport
(State which)
I paid
head tax at Radzha (City)
Poland.
, on
(State amount)
(State or country)
(Month)
(Day)
(Year)
I was examined by immigration officers at
Ellis I sland, , new york
At that time I intended to remain (permanently, temporerily, for visit, in transit)
permanelly
(State which)
The in was was
person the United States I coming to my father, (Giye name John in full) Jarosgiving DACE
The place in the United States I was going to was
Wilkshare, Pa.
The names of some of the persons or passengers I traveled with were my another, Jerso Suchocka,
and my brothers, Joseph alexanda Universty
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
new York
(e) If not examined, state why, and give the circumstances of your entry
Canada
(f) The place in
where I bought my railroad ticket to come to the United States was
Mexico
stanistan (Signature of Jaraskurijy applicant)
GOVERNMENT PRINTING OFFICE
14-8
(OVER)
Page data
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- Source index
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- Type
- photo
- Media ID
- e0d1e79b79559775
- 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": "not ezhand\nI\nhave\nused 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 Stanista Jarasqhiemity\nMy mother's maiden name was\nJeresa Suchocha\nMy maiden name was (if woman)\nMy post-office address is\n34 White St. Normish, Come\nThe ticket on which I came\nto this country was bought at Wilkalang (City) Pa. (Country) U.S.a.\nS S. America\n1st cabin\nIf arrival by ship: Name of steamship line was\nadcabin\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)\npassport\n(State which)\nI paid\nhead tax at Radzha (City)\nPoland.\n, on\n(State amount)\n(State or country)\n(Month)\n(Day)\n(Year)\nI was examined by immigration officers at\nEllis I sland, , new york\nAt that time I intended to remain (permanently, temporerily, for visit, in transit)\npermanelly\n(State which)\nThe in was was\nperson the United States I coming to my father, (Giye name John in full) Jarosgiving DACE\nThe place in the United States I was going to was\nWilkshare, Pa.\nThe names of some of the persons or passengers I traveled with were my another, Jerso Suchocka,\nand my brothers, Joseph alexanda Universty\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)\nCanada\n(b) The place in\nfrom which I entered the United States\nwas\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\nnew York\n(e) If not examined, state why, and give the circumstances of your entry\nCanada\n(f) The place in\nwhere I bought my railroad ticket to come to the United States was\nMexico\nstanistan (Signature of Jaraskurijy applicant)\nGOVERNMENT PRINTING OFFICE\n14-8\n(OVER)"
}