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If by ship: Name of steamship line was
THE 2d 1st cabin cabin
3d pabin
I arrived as (passeng stowaway, seaman, member of crew, or otherwise)
(State which)
I traveled on (an immigration visa, a passport, a permit)
(State which)
I paid
head tax at
, on
(State amount)
(City)
(State or country)
(Month)
(Day)
(Year)
I was examined by immigration officers at
At that time I intended to remain (permanently, temporar y for visit, in transit)
(State which)
The person in the United States was coming to was
name in full)
The place in the United States I was going to was
The names of some of the persons or passengers I traveled with were
WILNA
POLANd
My last place of foreign residence was
(City or town)
(Country)
I am YES married. The name of my
wife
is ALEXANdRA SHULGA
She
huchand
Hie
}
was born at
LOMZA POLAND
and now resides at 528 NORTH MAIN ST.
said
,
I am now a subject of and intend to renounce allegiance to
REPUBLIC OF POLAND
(W rite name and title of sovereign and country of which now a subject;
or, if citizen of a Republic, write name of Republic only)
I arrived at the United States. Immigration port of
NEW York
(City or town)
NEW YoRK
on
JAN. 23 1913
(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)
Carrada
(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
If The place in
Mexico
where I bought my railroad ticket to como to the United States was
alsx
Harlage
GOVREUNMENT PRINTING OFFICE
e14-8
(Signatore of applicant)
(OVER)
Page data
- Page
- 178
- Source index
- 0
- Type
- photo
- Media ID
- 68cf97133bc75342
- 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\nTHE 2d 1st cabin cabin\n3d pabin\nI arrived as (passeng stowaway, seaman, member of crew, or otherwise)\n(State which)\nI traveled on (an immigration visa, a passport, a permit)\n(State which)\nI paid\nhead tax at\n, on\n(State amount)\n(City)\n(State or country)\n(Month)\n(Day)\n(Year)\nI was examined by immigration officers at\nAt that time I intended to remain (permanently, temporar y for visit, in transit)\n(State which)\nThe person in the United States was coming to was\nname in full)\nThe place in the United States I was going to was\nThe names of some of the persons or passengers I traveled with were\nWILNA\nPOLANd\nMy last place of foreign residence was\n(City or town)\n(Country)\nI am YES married. The name of my\nwife\nis ALEXANdRA SHULGA\nShe\nhuchand\nHie\n}\nwas born at\nLOMZA POLAND\nand now resides at 528 NORTH MAIN ST.\nsaid\n,\nI am now a subject of and intend to renounce allegiance to\nREPUBLIC OF POLAND\n(W rite name and title of sovereign and country of which now a subject;\nor, if citizen of a Republic, write name of Republic only)\nI arrived at the United States. Immigration port of\nNEW York\n(City or town)\nNEW YoRK\non\nJAN. 23 1913\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)\nCarrada\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\nIf The place in\nMexico\nwhere I bought my railroad ticket to como to the United States was\nalsx\nHarlage\nGOVREUNMENT PRINTING OFFICE\ne14-8\n(Signatore of applicant)\n(OVER)"
}