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by ship: Name of steamship line Hanchury Amer
1st cabin
If was
2d cabin
3rd
3d cabin
I as or
arrived (passenger, stowaway, seaman, member of crew, otherwise) (State which)
I traveled on a a
no (an immigration visa, - passport, permit) perchis (State which)
possenger
I paid
head tax at
, on
I examined (State amount) by immigration officers at (City) Ellis (State countray)
was
Island
(Month)
(Day)
(Year)
At
that time I intended to remain (permanently, temporarily, for visit, in transit) (State which)
Meihal tuertauis
perceasedly
The person in the United States I was coming to was
(Give name in full)
The was was
place in the United States I going to Witherbee, N.Y.
The names of some of the persons or passengers I traveled with were
My last place of foreign residence said was wife (City } or tom (Country) She
I am married. The name of my
houndary fes Palaus husband and now said resides at 12 White Mr, He thomah, G
is
was born at
I am now a subject of and intend to renounce allegiance to by (Write name of and Lickuania title of sovereign and country of which subject;
now a
I or, arrived if citizen of the Republic, United write States of Republic Immigration only) port of New York, (City town) n.y
a name
at
, on Fra 14, 1909
or
(State or territory)
(Give exact month, day, and 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)
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
PRINTING Jani22
Stanislam Lubsyeving
GOVERNMENT
(Signature of applicant)
(OVER)
Page data
- Page
- 136
- Source index
- 0
- Type
- photo
- Media ID
- 687e49468436844e
- 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": "by ship: Name of steamship line Hanchury Amer\n1st cabin\nIf was\n2d cabin\n3rd\n3d cabin\nI as or\narrived (passenger, stowaway, seaman, member of crew, otherwise) (State which)\nI traveled on a a\nno (an immigration visa, - passport, permit) perchis (State which)\npossenger\nI paid\nhead tax at\n, on\nI examined (State amount) by immigration officers at (City) Ellis (State countray)\nwas\nIsland\n(Month)\n(Day)\n(Year)\nAt\nthat time I intended to remain (permanently, temporarily, for visit, in transit) (State which)\nMeihal tuertauis\nperceasedly\nThe person in the United States I was coming to was\n(Give name in full)\nThe was was\nplace in the United States I going to Witherbee, N.Y.\nThe names of some of the persons or passengers I traveled with were\nMy last place of foreign residence said was wife (City } or tom (Country) She\nI am married. The name of my\nhoundary fes Palaus husband and now said resides at 12 White Mr, He thomah, G\nis\nwas born at\nI am now a subject of and intend to renounce allegiance to by (Write name of and Lickuania title of sovereign and country of which subject;\nnow a\nI or, arrived if citizen of the Republic, United write States of Republic Immigration only) port of New York, (City town) n.y\na name\nat\n, on Fra 14, 1909\nor\n(State or territory)\n(Give exact month, day, and 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)\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\nPRINTING Jani22\nStanislam Lubsyeving\nGOVERNMENT\n(Signature of applicant)\n(OVER)"
}