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If by ship: Name of steamship line was Holland american hind 1st cabin 2d cabin 3rd 3d cabin I arrived as (passenger, stowaway, seaman, member of crew, or otherwise) (State whieh) Passenger I traveled on (an immigration visa, a passport, a permit) (State which) I paid head tax at new (City york n.4. , on Sept (Month) (Day) 5 1905 (Year) (State amount) (State or country) I was examined by immigration officers at Ellis n.y. Island At that time I intended to remain (permanently, temporarily, for visit, in transit) (State which) The person in the United States I was coming to was morris (Give name in tull) The place in the United States I was going to new new London Conn Bartosty Permanently The persons passengers I traveled with mother and family names of some of the or were malkin My last place of foreign residence was Poland (City or town) (Country) I am { wife is Dorothy She married. The name of my was born at He Chicconouried Poland hasbund and now resides at new London Conn , A am now subject intend allegiance to Poland a of and to renounce (Write name and title of sovereign and country of which now a subject; or, if citizen of a Republic, write name of Republic only) I arrived at the United States Immigration port of Ellis Island. new your (State or , on Sept 5th (City or town) 1905 territory) (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 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 where I bought my railroad ticket to come to the United States was Mexico David (Signature of applicant) GOVERNMENT PRINTING e14-8 (OVER)

Page data

Page
1193
Source index
0
Type
photo
Media ID
db1c9f0c04bd8d4f
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": "If by ship: Name of steamship line was Holland american hind\n1st cabin\n2d cabin\n3rd\n3d cabin\nI arrived as (passenger, stowaway, seaman, member of crew, or otherwise) (State whieh)\nPassenger\nI traveled on (an immigration visa, a passport, a permit)\n(State which)\nI paid\nhead tax at new (City york\nn.4.\n, on Sept (Month) (Day) 5 1905 (Year)\n(State amount)\n(State or country)\nI was examined by immigration officers at Ellis n.y.\nIsland\nAt\nthat time I intended to remain (permanently, temporarily, for visit, in transit) (State which)\nThe person in the United States I was coming to was morris (Give name in tull)\nThe place in the United States I was going to new new London Conn\nBartosty\nPermanently\nThe persons passengers I traveled with mother and family\nnames of some of the or were\nmalkin\nMy last place of foreign residence was\nPoland\n(City or town)\n(Country)\nI am\n{\nwife\nis Dorothy\nShe\nmarried. The name of my\nwas born at\nHe\nChicconouried Poland hasbund and now resides at new London\nConn\n,\nA am now subject intend allegiance to Poland\na of and to renounce\n(Write name and title of sovereign and country of which now a subject;\nor, if citizen of a Republic, write name of Republic only)\nI arrived at the United States Immigration port of\nEllis Island.\nnew your (State or\n, on Sept 5th (City or town) 1905\nterritory)\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) (Day) (Year)\n{\nCanada\n(b) The place in\nMexico\n}\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\nwhere I bought my railroad ticket to come to the United States was\nMexico\nDavid (Signature of applicant)\nGOVERNMENT PRINTING\ne14-8\n(OVER)"
}