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I have 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 grovanni Bathsla Bellone My mother's maiden name was mary galiossa My maiden name was (if woman) My post-office address is 96Division St, Morrish/com The ticket which I this country bought Cusa Messine on came to was at (City) (Country) arrival by ship: Name of steamship line was Canada. 1st cabin If 2d cabin 3d cabin I arrived as of or (passenger, stowaway, seaman, member crew, otherwise) Passenger. (State which I traveled on (an immigration visa, a passport, a permit) yes, (State which) I paid you head tax at City City) Marmits (State or , on (StatGamount) country) (Month) (Day) (Year) I was examined officers at by immigration yes, At that time I intended to remain (permanently, temporarily, for visit, in transit) (State which) The in the United States I coming sister person was to was (Give name in full) The place in the United States I was going to was to norich Came The names of some of the persons or passengers I traveled with were ADDITIONAL FACTS TO CANADA OR MEXICO: (a) The place in Canada Canada where I landed was (Month) (Day) (Year) (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 gionance Battistor GOVERNMENT PIMNTING OFFICE 14-8 (OVER) (Signature of applicant)

Page data

Page
1264
Source index
0
Type
photo
Media ID
e89072b562f0925e
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
{
    "id": "159596813",
    "sourceUrl": "https://catalog.archives.gov/id/159596813",
    "contentType": "document",
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Document source extras
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            "note": "This file was scanned as part of a collaboration effort between FamilySearch and the National Archives.",
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Page context
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    "ocrText": "I have\nused 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 grovanni Bathsla Bellone\nMy mother's maiden name was\nmary galiossa\nMy maiden name was (if woman)\nMy post-office address is\n96Division St, Morrish/com\nThe ticket which I this country bought Cusa Messine\non came to was at\n(City)\n(Country)\narrival by ship: Name of steamship line was Canada.\n1st cabin\nIf\n2d cabin\n3d cabin\nI arrived as of or\n(passenger, stowaway, seaman, member crew, otherwise)\nPassenger.\n(State which\nI traveled on (an immigration visa, a passport, a permit) yes,\n(State which)\nI\npaid you head tax at City City) Marmits (State or\n, on\n(StatGamount)\ncountry)\n(Month)\n(Day)\n(Year)\nI was examined officers at\nby immigration yes,\nAt that time I intended to remain (permanently, temporarily, for visit, in transit)\n(State which)\nThe in the United States I coming sister\nperson was to was\n(Give name in full)\nThe place in the United States I was going to was to norich Came\nThe names of some of the persons or passengers I traveled with were\nADDITIONAL FACTS TO CANADA OR MEXICO:\n(a)\nThe place in Canada Canada where I landed was (Month)\n(Day)\n(Year)\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\ngionance Battistor\nGOVERNMENT PIMNTING OFFICE\n14-8\n(OVER)\n(Signature of applicant)"
}