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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)"
}