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Page 1018 of 1298
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I have not used another in this than that
name country given at the beginning of this form. If so, it was
-
I used that name because
The full name of the Gecaccline Susta
person shown on my steamship ticket was
My mother's maiden name
was Lurgia De Palma
My maiden name was (if woman)
My post-office address is
4 Hamleton anceue grota Conn.
The ticket on which I came to this country was bought at
Maples,
City)
Italy
(Country)
If arrival by ship: Name of steamship line was Italien navagatim Co-
1st cabin
2d cabin
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
, on
(State amount)
(City)
(State or country)
(Month)
(Day)
(Year)
I was examined by immigration officers at
new york
At that time I intended to remain (permanently, temporarily, for visit, in transit)
permanently
(State which)
The person in the United States I was coming to was
mome.
(Give name in full)
The place in the United States I was going to was
Morwich cam.
The names of some of the persons or passengers I traveled with were
Patey Capaire,
Micholas & e moia.
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
Mexico
from which I entered the United States was
(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
PRENTING OFFICN 14-8
(OVER)
(Signature of applicant)
Page data
- Page
- 1018
- Source index
- 0
- Type
- photo
- Media ID
- 6c7ba83c42dea4e9
- Size
- unknown
Document data
- ID
- 159596813
- Core
- doc
- Type
- document
DTO data
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"title": "File numbers 4874 - 5509, 1926-1930",
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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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"naId": 159596813,
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"onlineResources": [
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"note": "This file was scanned as part of a collaboration effort between FamilySearch and the National Archives.",
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Page context
{
"seq": 1018,
"pageIndex": 0,
"type": "photo",
"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_01018.jpg",
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"ocrText": "I have not used another in this than that\nname country given at the beginning of this form. If so, it was\n-\nI used that name because\nThe full name of the Gecaccline Susta\nperson shown on my steamship ticket was\nMy mother's maiden name\nwas Lurgia De Palma\nMy maiden name was (if woman)\nMy post-office address is\n4 Hamleton anceue grota Conn.\nThe ticket on which I came to this country was bought at\nMaples,\nCity)\nItaly\n(Country)\nIf arrival by ship: Name of steamship line was Italien navagatim Co-\n1st cabin\n2d cabin\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\n, on\n(State amount)\n(City)\n(State or country)\n(Month)\n(Day)\n(Year)\nI was examined by immigration officers at\nnew york\nAt that time I intended to remain (permanently, temporarily, for visit, in transit)\npermanently\n(State which)\nThe person in the United States I was coming to was\nmome.\n(Give name in full)\nThe place in the United States I was going to was\nMorwich cam.\nThe names of some of the persons or passengers I traveled with were\nPatey Capaire,\nMicholas & e moia.\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\nMexico\nfrom which I entered the United States was\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\nPRENTING OFFICN 14-8\n(OVER)\n(Signature of applicant)"
}