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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 full name of the person shown on my steamship ticket was
My mother's maiden name was Christing Euring
My maiden name was (if woman)
My post-office address is Jhanke 430 Beach 129 st Rockaway. Beach LI NY
The on came country was bought at
ticket which I to this Seronto
Canada.
(City)
(Country)
1st cabin
If arrival by ship: Name of steamship line was
2d cabin
3d cabin
I arrived as (passenger, stowaway, seaman, member of crew, or otherwise)
I traveled on (an immigration visa, a passport, a permit)
Visa
(State which)
(State which)
I paid
$800 head tax at Niagara Falls.th N.Y.
on Octoles 9th 1927.
,
(State amount)
(City)
(State-or country)
(Month)
(Day)
(Year)
I was examined by immigration
officers at "Niagara falls NY
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 Mr John Hinn.
(Give name in full)
The place in the United States I was going to was Rockaway Beach. Leng Island
The names of some of the persons or passengers I traveled with were
ADDITIONAL FACTS TO BE GIVEN IF ALIEN CAME From OR Tunouah CANADA or Mexico:
(a) The place in Canada where I landed was
Mintreal
, on clune 12th 1925
(Month) (Day) (Year)
Canada
(b) The place in
from which I entered the United States was Jasonto
Mexico
(c) On October
9th
(Month)
1927.
I
(d) The place
where I was examined for (Day) admission at the United (Year) States border was Niagara DallaNY
(e) If not examined, state why, and give the circumstances of your entry
Canada
if The place in
where I Soonto
Menico
bought my railroad ticket to come to the United States was
JShane
GOVERNIMENT PRENTING OFFICE
14-
(OVER)
(Signature of applicant)
Page data
- Page
- 1069
- Source index
- 0
- Type
- photo
- Media ID
- b4264aa6124aa075
- 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 full name of the person shown on my steamship ticket was\nMy mother's maiden name was Christing Euring\nMy maiden name was (if woman)\nMy post-office address is Jhanke 430 Beach 129 st Rockaway. Beach LI NY\nThe on came country was bought at\nticket which I to this Seronto\nCanada.\n(City)\n(Country)\n1st cabin\nIf arrival by ship: Name of steamship line was\n2d cabin\n3d cabin\nI arrived as (passenger, stowaway, seaman, member of crew, or otherwise)\nI traveled on (an immigration visa, a passport, a permit)\nVisa\n(State which)\n(State which)\nI paid\n$800 head tax at Niagara Falls.th N.Y.\non Octoles 9th 1927.\n,\n(State amount)\n(City)\n(State-or country)\n(Month)\n(Day)\n(Year)\nI was examined by immigration\nofficers at \"Niagara falls NY\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 Mr John Hinn.\n(Give name in full)\nThe place in the United States I was going to was Rockaway Beach. Leng Island\nThe names of some of the persons or passengers I traveled with were\nADDITIONAL FACTS TO BE GIVEN IF ALIEN CAME From OR Tunouah CANADA or Mexico:\n(a) The place in Canada where I landed was\nMintreal\n, on clune 12th 1925\n(Month) (Day) (Year)\nCanada\n(b) The place in\nfrom which I entered the United States was Jasonto\nMexico\n(c) On October\n9th\n(Month)\n1927.\nI\n(d) The place\nwhere I was examined for (Day) admission at the United (Year) States border was Niagara DallaNY\n(e) If not examined, state why, and give the circumstances of your entry\nCanada\nif The place in\nwhere I Soonto\nMenico\nbought my railroad ticket to come to the United States was\nJShane\nGOVERNIMENT PRENTING OFFICE\n14-\n(OVER)\n(Signature of applicant)"
}