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1st cabin
If by ship Name of steamship line was
2d cabin
3d cabin
I
arrived as (passenger, 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 temporarily, for visit in transit)
(State which)
The person in the United States I was coming to was
(Give name in full)
The place in the United States I was going to was
The names of some of the persons or passengers I trayeled with were
stair Cloon
My last place of foreign residence was
Cahireicun Ireland
City or town)
(Country)
I am notmarried. The name or my
wife
She
is
was horn at
husband
He
, and now resides at
,
I am now a subject of and intend to renounce allegiance to
(Write nameand a
George title of sovereign thing and conntry of of which England now subject;
V. tc.
I arrived at the United States Immigration port
or, a of Boston
if citizen of Republic, write name of Republic only)
(City or town)
mass
,
(State or territory)
on September (Give exact month, 4 day, the and year) 1907
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
(A) The place in
where I bought my railroad ticket to come to the United States was
Mexico
GOVERNMENT PRINTING OFFIOM
e14-8
(Signature of applicant)
(OVER)
Page data
- Page
- 19
- Source index
- 0
- Type
- photo
- Media ID
- eae9f180fd93e518
- 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": "1st cabin\nIf by ship Name of steamship line was\n2d cabin\n3d cabin\nI\narrived as (passenger, 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 temporarily, for visit in transit)\n(State which)\nThe person in the United States I was coming to was\n(Give name in full)\nThe place in the United States I was going to was\nThe names of some of the persons or passengers I trayeled with were\nstair Cloon\nMy last place of foreign residence was\nCahireicun Ireland\nCity or town)\n(Country)\nI am notmarried. The name or my\nwife\nShe\nis\nwas horn at\nhusband\nHe\n, and now resides at\n,\nI am now a subject of and intend to renounce allegiance to\n(Write nameand a\nGeorge title of sovereign thing and conntry of of which England now subject;\nV. tc.\nI arrived at the United States Immigration port\nor, a of Boston\nif citizen of Republic, write name of Republic only)\n(City or town)\nmass\n,\n(State or territory)\non September (Give exact month, 4 day, the and year) 1907\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{\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(A) The place in\nwhere I bought my railroad ticket to come to the United States was\nMexico\nGOVERNMENT PRINTING OFFIOM\ne14-8\n(Signature of applicant)\n(OVER)"
}