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I have nevar. 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
Antonio
Rodrigues
My mother's maiden name was
Umblina De Matos
My maiden name was (if woman)
My post-office address is
Box 17
Stonington,Conn
The ticket on which I came to this country was bought at
Lisbon
Portugal
(City)
(Country)
1st cabin
Fabre Line
If arrival by ship: Name of steamship line was
2d cabin
3rd
3d cabin
I arrived as (passenger, stowaway, seaman, member of crew, or otherwise)
Passanger
(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 Providence ?R.I.
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
Francisco Rodrigues-- Father
(Give name in full)
The place in the United States I was going to was
Providence, R.IL
The names of some of the persons or passengers I traveled with were
I knew nobody by name on the Steamer
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)
(b) The place in
{
Canada
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
GOVERNIMENT PRINTING 14-8
(OVER)
Antonio (Signature Rodrigues of applicant)
Page data
- Page
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- Source index
- 0
- Type
- photo
- Media ID
- 32578a2c119b9e3d
- Size
- unknown
Document data
- ID
- 159596813
- Core
- doc
- Type
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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 nevar. 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\nAntonio\nRodrigues\nMy mother's maiden name was\nUmblina De Matos\nMy maiden name was (if woman)\nMy post-office address is\nBox 17\nStonington,Conn\nThe ticket on which I came to this country was bought at\nLisbon\nPortugal\n(City)\n(Country)\n1st cabin\nFabre Line\nIf arrival by ship: Name of steamship line was\n2d cabin\n3rd\n3d cabin\nI arrived as (passenger, stowaway, seaman, member of crew, or otherwise)\nPassanger\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 Providence ?R.I.\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\nFrancisco Rodrigues-- Father\n(Give name in full)\nThe place in the United States I was going to was\nProvidence, R.IL\nThe names of some of the persons or passengers I traveled with were\nI knew nobody by name on the Steamer\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)\n(b) The place in\n{\nCanada\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\nGOVERNIMENT PRINTING 14-8\n(OVER)\nAntonio (Signature Rodrigues of applicant)"
}