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I
have not than that given at the
used another name in this country beginning of this form. If so, it was
none
I used that name because
none
The full name of the person shown on my steamship ticket was Rebecca Wanoff
My mother's maiden name was
My maiden name was (if woman) Refecca Klein,
Bertha Pyloffshy,
My post-office address is 149 Howard St, newhondrun born
The ticket on which I came to this country was bought at Keiv / Russia
(City)
(Country)
If arrival by ship: Name of steamship line was Ruffilches America
1st cabin
2d cabin
2ndCabia
3d cabin
I arrived as crew, or
(passenger, stowaway, seaman, member of otherwise) (State which)
passenger
I traveled on (an immigration visa, a passport, a permit)
about 25,00 head tax at
passport (State
which)
I paid
(State amount)
Keir (City) Russia (State or country) , on about log (Month) (Day 1961 (Year)
I
was
examined by immigration officers at at port of departure and at newYork
At that time I intended to remain (permanently, temporarily, for visit, in transit)
The person in the United States I was coming to was Brother hites nathaw Wine, SamaelKlein
permitted
(State which)
The place in the United States I was going to was newhondon leom
(Give name in full)
The names of some of the persons or passengers I traveled with were my family mother & six
children, Bathaklies mother)
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 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
GOVERNMENT PRINTING OFFICE 14-8
(OVER)
B ulange (Signature of
applicant)
Page data
- Page
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- Source index
- 0
- Type
- photo
- Media ID
- 0a7bd0f404d72758
- 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\nhave not than that given at the\nused another name in this country beginning of this form. If so, it was\nnone\nI used that name because\nnone\nThe full name of the person shown on my steamship ticket was Rebecca Wanoff\nMy mother's maiden name was\nMy maiden name was (if woman) Refecca Klein,\nBertha Pyloffshy,\nMy post-office address is 149 Howard St, newhondrun born\nThe ticket on which I came to this country was bought at Keiv / Russia\n(City)\n(Country)\nIf arrival by ship: Name of steamship line was Ruffilches America\n1st cabin\n2d cabin\n2ndCabia\n3d cabin\nI arrived as crew, or\n(passenger, stowaway, seaman, member of otherwise) (State which)\npassenger\nI traveled on (an immigration visa, a passport, a permit)\nabout 25,00 head tax at\npassport (State\nwhich)\nI paid\n(State amount)\nKeir (City) Russia (State or country) , on about log (Month) (Day 1961 (Year)\nI\nwas\nexamined by immigration officers at at port of departure and at newYork\nAt that time I intended to remain (permanently, temporarily, for visit, in transit)\nThe person in the United States I was coming to was Brother hites nathaw Wine, SamaelKlein\npermitted\n(State which)\nThe place in the United States I was going to was newhondon leom\n(Give name in full)\nThe names of some of the persons or passengers I traveled with were my family mother & six\nchildren, Bathaklies mother)\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 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\nGOVERNMENT PRINTING OFFICE 14-8\n(OVER)\nB ulange (Signature of\napplicant)"
}