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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
---
railroad
The full name of the person shown on my steamship steamship ticket was not shown as I rememher.
My mother's maiden name was Amelia Fountion,
My maiden name was (if woman)
---
My post-office address is U.S.S. ERICSSON, New London, Conn.
The ticket on which I came to this country was bought at
Montreal,
Canada.
(City)
(Country)
1st cabin
If arrival by ship: Name of steamship line was
Railroad.
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)
Don't remember.
(State which)
I paid
$1
head tax at Pawtucket, R.I.
U.S.A.
-
-
, on
1926.
(State amount)
(City)
(State or country)
(Month)
(Day)
(Year)
I was examined by immigration officers at Don't remember being examined.
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 St. Germain (Surname - don't know first
(Give name in full)
name ) .
The place in the United States I was going to was Pawtucket, R. I.
The names of some of the persons or passengers I traveled with were Joseph Ledoux, Albert Ledoux,
Leo Ledoux, Arthur Ledoux, Amelia Ledoux, Argar Ledoux, Lucien Ledoux,
Sinnon Ledoux,
ADDITIONAL FACTS TO BE GIVEN IF ALIEN CAME From OR THROUGH CANADA OR MEXICO:
(a) The place in Canada where I landed was
born in Canada
, on Sept. 18, 1905.
(Month)
(Day)
(Year)
Canada
(b) The place in
from which I entered the United States was Don' t know.
Mexico
(c) On
December
31
1916.
(Month)
(Day)
(Year)
(d) The place where I was examined for admission at the United States border was Do not remember
examination.
(e) If not examined, state why, and give the circumstances of your entry Came with my parents.
Canada
(f) The place in
where I bought my railroad ticket to come to the United States was Montreal,
Mexico
Canada.
GOVERNMENT PRENTING officm 14-8
(OVER)
Rosario Le do(Signature of applicant)
PermisHedamp
Page data
- Page
- 1081
- Source index
- 0
- Type
- photo
- Media ID
- ef8964dca5abc538
- 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\n---\nrailroad\nThe full name of the person shown on my steamship steamship ticket was not shown as I rememher.\nMy mother's maiden name was Amelia Fountion,\nMy maiden name was (if woman)\n---\nMy post-office address is U.S.S. ERICSSON, New London, Conn.\nThe ticket on which I came to this country was bought at\nMontreal,\nCanada.\n(City)\n(Country)\n1st cabin\nIf arrival by ship: Name of steamship line was\nRailroad.\n2d cabin\n---\n3d cabin\nI arrived as (passenger, stowaway, seaman, member of crew, or otherwise) Passenger.\n(State which)\nI traveled on (an immigration visa, a passport, a permit)\nDon't remember.\n(State which)\nI paid\n$1\nhead tax at Pawtucket, R.I.\nU.S.A.\n-\n-\n, on\n1926.\n(State amount)\n(City)\n(State or country)\n(Month)\n(Day)\n(Year)\nI was examined by immigration officers at Don't remember being examined.\nAt that time I intended to remain (permanently, temporarily, for visit, in transit) Permanently\n(State which)\nThe person in the United States I was coming to was St. Germain (Surname - don't know first\n(Give name in full)\nname ) .\nThe place in the United States I was going to was Pawtucket, R. I.\nThe names of some of the persons or passengers I traveled with were Joseph Ledoux, Albert Ledoux,\nLeo Ledoux, Arthur Ledoux, Amelia Ledoux, Argar Ledoux, Lucien Ledoux,\nSinnon Ledoux,\nADDITIONAL FACTS TO BE GIVEN IF ALIEN CAME From OR THROUGH CANADA OR MEXICO:\n(a) The place in Canada where I landed was\nborn in Canada\n, on Sept. 18, 1905.\n(Month)\n(Day)\n(Year)\nCanada\n(b) The place in\nfrom which I entered the United States was Don' t know.\nMexico\n(c) On\nDecember\n31\n1916.\n(Month)\n(Day)\n(Year)\n(d) The place where I was examined for admission at the United States border was Do not remember\nexamination.\n(e) If not examined, state why, and give the circumstances of your entry Came with my parents.\nCanada\n(f) The place in\nwhere I bought my railroad ticket to come to the United States was Montreal,\nMexico\nCanada.\nGOVERNMENT PRENTING officm 14-8\n(OVER)\nRosario Le do(Signature of applicant)\nPermisHedamp"
}