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1st cabin
If by ship: Name of steamship line was
2d cabin
3d cabin
I arrived as (passenger, towaway, seaman, member of crew, or otherwise)
(State which)
I traveled on (an immigration visa a passport, a permit)
(State which)
I paid
head tax at
, on
(State amount)
(City)
(State opecuntry)
(Month)
(Day)
(Year)
I was examined by immigration officers at
At that time I intended to remain (permanently temporarily, for yisit, in transit)
(State which)
The person in the United States I was coming to was
(GIV name in full)
The place in the United States I was going to was
The names of some of the persons or passengers I traveled with were
said
My last place of foreign residence was A Kitchener
Lanada
(City
I am
married. The name of my
{
wife
is or Charlotte town) Hicto (Country)
She
He
}
was born at
Radcliffe, England said 48 and now Howard resides at new Struggueda London , loun.
I am now a subject of and intend to renounce allegiance to
GeorgeV,
(Write name and title of sovereign and country of which now a subject;
if citizen of Republic, write of Republiconly) ,to
or, a name
I arrived at the United States Immigration port of
niagara Falls. (City or town) n.y.
new (State or territory)
york
, on
October 1896
(Give exact month, day, and year)
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
el4-8
(Signature of applicant)
(OVER)
Page data
- Page
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- Source index
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- Type
- photo
- Media ID
- fe7d1f5075d2dd74
- 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 metadata
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Document source extras
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Page context
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"ocrText": "1st cabin\nIf by ship: Name of steamship line was\n2d cabin\n3d cabin\nI arrived as (passenger, towaway, seaman, member of crew, or otherwise)\n(State which)\nI traveled on (an immigration visa a passport, a permit)\n(State which)\nI paid\nhead tax at\n, on\n(State amount)\n(City)\n(State opecuntry)\n(Month)\n(Day)\n(Year)\nI was examined by immigration officers at\nAt that time I intended to remain (permanently temporarily, for yisit, in transit)\n(State which)\nThe person in the United States I was coming to was\n(GIV name in full)\nThe place in the United States I was going to was\nThe names of some of the persons or passengers I traveled with were\nsaid\nMy last place of foreign residence was A Kitchener\nLanada\n(City\nI am\nmarried. The name of my\n{\nwife\nis or Charlotte town) Hicto (Country)\nShe\nHe\n}\nwas born at\nRadcliffe, England said 48 and now Howard resides at new Struggueda London , loun.\nI am now a subject of and intend to renounce allegiance to\nGeorgeV,\n(Write name and title of sovereign and country of which now a subject;\nif citizen of Republic, write of Republiconly) ,to\nor, a name\nI arrived at the United States Immigration port of\nniagara Falls. (City or town) n.y.\nnew (State or territory)\nyork\n, on\nOctober 1896\n(Give exact month, day, and year)\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\nel4-8\n(Signature of applicant)\n(OVER)"
}