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IC
unoo 72emer
4S UTBW 62 .
*H OOTO
1003
GUILING
I hays not used another name in this country than that given at the beginning or this form.
DRAN
I used that name because
The full name of the person shown on my steamship ticket was
My mother's maiden name was Amanda grassion
My maiden name was (if woman)
My post-office address is
The ticket on which I came to this country was bought at
quite
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)
(State which)
I traveled on (an immigration visa, a passport, a permit)
I paid 88.00 head tax at charterville Initee
permit
(State which)
(State amount)
(City)
(State or country)
, on of in - 29 - 1923 (Month) (Day) (Year)
I
was examined by immigration officers at chantierville
At
that time I intended to remain (permanently, temporarily, for visit, in transit) (State which)
permanently
The person in the United States I was coming to was ovide maninette
(Give name in full)
The place in the United States I was going to was Marren
The names of some of the persons or passengers I traveled with were
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
from which chartinvill
Mexico
I entered the United States was
(c) On
aphail
29
1923
(Month)
(Day)
(Year)
(d) The place where I was examined for admission at the United States border was chartervill
(e) If not examined, state why, and give the circumstances of your entry
Canada
The place in
Moxico
where I bought my railroad ticket to come to the United States was
Quebee
GOVERNIMENT PRENTING ornom
(OVER)
Eleaphas (Signature mainette of applicant)
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- Type
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Document data
- ID
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- Core
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- 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": "IC\nunoo 72emer\n4S UTBW 62 .\n*H OOTO\n1003\nGUILING\nI hays not used another name in this country than that given at the beginning or this form.\nDRAN\nI used that name because\nThe full name of the person shown on my steamship ticket was\nMy mother's maiden name was Amanda grassion\nMy maiden name was (if woman)\nMy post-office address is\nThe ticket on which I came to this country was bought at\nquite\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)\n(State which)\nI traveled on (an immigration visa, a passport, a permit)\nI paid 88.00 head tax at charterville Initee\npermit\n(State which)\n(State amount)\n(City)\n(State or country)\n, on of in - 29 - 1923 (Month) (Day) (Year)\nI\nwas examined by immigration officers at chantierville\nAt\nthat time I intended to remain (permanently, temporarily, for visit, in transit) (State which)\npermanently\nThe person in the United States I was coming to was ovide maninette\n(Give name in full)\nThe place in the United States I was going to was Marren\nThe names of some of the persons or passengers I traveled with were\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\nfrom which chartinvill\nMexico\nI entered the United States was\n(c) On\naphail\n29\n1923\n(Month)\n(Day)\n(Year)\n(d) The place where I was examined for admission at the United States border was chartervill\n(e) If not examined, state why, and give the circumstances of your entry\nCanada\nThe place in\nMoxico\nwhere I bought my railroad ticket to come to the United States was\nQuebee\nGOVERNIMENT PRENTING ornom\n(OVER)\nEleaphas (Signature mainette of applicant)"
}