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If by ship: Name of steamship line was North German Loya 2d 1st
cabin
cabin
2nd
3d cabin
I
arrived as (passenger, stowaway, seaman, member of crew, or otherwise)
Parsinger
(State whoch)
I traveled on (an immigration visa, a passport, a permit)
Passport
(State which)
I paid (State/amount) head tax at berefed (City) (State country) on May (Month)
Eight
Germany
1923
or
(Day)
(Year)
I was examined by immigration officers at Bremen Servicy & A. A
At that time I intended to remain (permanently, temporarily, for visit in transit) Permanent
(State which)
The in the United States I coming to Peter Van Diepen
person was was
(Give name in full)
The place in the United States I was going to was
storington Comm. LL
The of of the persons passengers I traveled with the Helen stay
names some or were
said
My last place of foreign residence was
krefasth
Summery
(City or town)
(Country)
wife
is Peter fan Dichou
She
I am
married. The name of my
was born at
somerm
husband
He
Holland
and now said resides at 31 Geenmanville Are
,
I am now a subject of and intend to renounce allegiance to
Holland
(Write name and title of sovercign and country of which now a subject;
Wilhelmina or, if citizen of a Republic, write name of Republic Zincenofthe only) nitherlands
I arrived at the United States Immigration port of Hoboken
(City or
M. g. town)
(State or territory)
, on June (Give exact 15th month, day, and 1923 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)
(b) The place in
{
Canada
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
these non Differ
GOVERNMENT PRINTING 027103
e14-8
(Signature of applicant)
(OVER)
Page data
- Page
- 134
- Source index
- 0
- Type
- photo
- Media ID
- 848569c3629957c0
- 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 North German Loya 2d 1st\ncabin\ncabin\n2nd\n3d cabin\nI\narrived as (passenger, stowaway, seaman, member of crew, or otherwise)\nParsinger\n(State whoch)\nI traveled on (an immigration visa, a passport, a permit)\nPassport\n(State which)\nI paid (State/amount) head tax at berefed (City) (State country) on May (Month)\nEight\nGermany\n1923\nor\n(Day)\n(Year)\nI was examined by immigration officers at Bremen Servicy & A. A\nAt that time I intended to remain (permanently, temporarily, for visit in transit) Permanent\n(State which)\nThe in the United States I coming to Peter Van Diepen\nperson was was\n(Give name in full)\nThe place in the United States I was going to was\nstorington Comm. LL\nThe of of the persons passengers I traveled with the Helen stay\nnames some or were\nsaid\nMy last place of foreign residence was\nkrefasth\nSummery\n(City or town)\n(Country)\nwife\nis Peter fan Dichou\nShe\nI am\nmarried. The name of my\nwas born at\nsomerm\nhusband\nHe\nHolland\nand now said resides at 31 Geenmanville Are\n,\nI am now a subject of and intend to renounce allegiance to\nHolland\n(Write name and title of sovercign and country of which now a subject;\nWilhelmina or, if citizen of a Republic, write name of Republic Zincenofthe only) nitherlands\nI arrived at the United States Immigration port of Hoboken\n(City or\nM. g. town)\n(State or territory)\n, on June (Give exact 15th month, day, and 1923 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)\n(Day)\n(Year)\n(b) The place in\n{\nCanada\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\nthese non Differ\nGOVERNMENT PRINTING 027103\ne14-8\n(Signature of applicant)\n(OVER)"
}