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1st cabin
If by shin 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 VIST in transit)
(State which)
The person in the United States 1 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 traveled with were
said
Stanislawowo
Polond
My last place of foreign residence was
(City or town)
(Country)
wife
I am
married. The name of my
is Victor Gaska
She
was born at
husband
said
He
Poland
, and now resides at 40 Eastern Ave
,
I am now a subject of and intend to renounce allegiance to
Republic of Poland
(Write 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 N.Y.
(City or town)
, 0727 98 of Ochrober 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)
{
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
Alice Gaska
GOVERNMENT PRINTING office
e14-8
(Signature of applicant)
(OVER)
Page data
- Page
- 202
- Source index
- 0
- Type
- photo
- Media ID
- 43d63217c82e222c
- 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 shin Name of steamship line was\n2d cabin\n3d cabin\nI arrived 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 VIST in transit)\n(State which)\nThe person in the United States 1 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 traveled with were\nsaid\nStanislawowo\nPolond\nMy last place of foreign residence was\n(City or town)\n(Country)\nwife\nI am\nmarried. The name of my\nis Victor Gaska\nShe\nwas born at\nhusband\nsaid\nHe\nPoland\n, and now resides at 40 Eastern Ave\n,\nI am now a subject of and intend to renounce allegiance to\nRepublic of Poland\n(Write 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.Y.\n(City or town)\n, 0727 98 of Ochrober 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)\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(f) The place in\nMexico\nwhere I bought my railroad ticket to come to the United States was\nAlice Gaska\nGOVERNMENT PRINTING office\ne14-8\n(Signature of applicant)\n(OVER)"
}