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I
have not used another name in this country given beginning
than that at the of this form. If so, it was
I used that name because
The person my steamship anthony Paulausky
full name of the shown on ticket was
My mother's maiden name was Juana Patroska
My maiden name was (if woman)
My post-office address is
R71#2 Colchester, Conn.
The ticket on which I came to this country was bought at
Tilsit (City) germany (Country)
arrival by ship: Name of steamship line was Hamburg amercean
lot cabin
If
2d cabin
3d cabin
I arrived as (passenger, stowaway, seaman, member of crew, or otherwise)
passenger
(State which)
I traveled on (an immigration visa, a passport, a permit) none
(State which)
I paid
head tax at
, on
(State amount)
(City)
(State or gountry)
(Month)
(Day)
(Year)
I
was examined by immigration officers at new York n.y.
At that time I intended to remain (permanently, for in
temporarily, visit, transit) (State which)
permanently.
The person in the United States I was coming to was
no one
(Give name in full)
The place in the United States I was going to was
Union City, Connecticut
The names of some of the persons or passengers I traveled with were
no one l remember
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
anthany Lanlansong
COVERNMENT PRENTING OFFICE
14
8
(OVER)
(signature of applicant)
Page data
- Page
- 1281
- Source index
- 0
- Type
- photo
- Media ID
- d1372c36a8886385
- 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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"url": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships-0002/18-0177_US-MA/18-0177_US-MA_21/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930_01281.jpg",
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"ocrText": "I\nhave not used another name in this country given beginning\nthan that at the of this form. If so, it was\nI used that name because\nThe person my steamship anthony Paulausky\nfull name of the shown on ticket was\nMy mother's maiden name was Juana Patroska\nMy maiden name was (if woman)\nMy post-office address is\nR71#2 Colchester, Conn.\nThe ticket on which I came to this country was bought at\nTilsit (City) germany (Country)\narrival by ship: Name of steamship line was Hamburg amercean\nlot cabin\nIf\n2d cabin\n3d cabin\nI arrived as (passenger, stowaway, seaman, member of crew, or otherwise)\npassenger\n(State which)\nI traveled on (an immigration visa, a passport, a permit) none\n(State which)\nI paid\nhead tax at\n, on\n(State amount)\n(City)\n(State or gountry)\n(Month)\n(Day)\n(Year)\nI\nwas examined by immigration officers at new York n.y.\nAt that time I intended to remain (permanently, for in\ntemporarily, visit, transit) (State which)\npermanently.\nThe person in the United States I was coming to was\nno one\n(Give name in full)\nThe place in the United States I was going to was\nUnion City, Connecticut\nThe names of some of the persons or passengers I traveled with were\nno one l remember\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\nanthany Lanlansong\nCOVERNMENT PRENTING OFFICE\n14\n8\n(OVER)\n(signature of applicant)"
}