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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)"
}