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1st cabin
If by bin: 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 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
My last place of foreign residence was
brefied
(City or town)
Germany
Country)
paid Stonington
I am jus married. The of my {
wife
name
is
husband
Kothryns edemmen
She
He
}
was born at
and
now resides at
I renounce
am avenue now a subject of and Stonington intend to allegiance to Gormany (Write title of sovereign the and country German of which subject;
Ruich
name and now a
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)
newyork
, on
(State/ for territory)
May exact 30 month, day, 1911 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 OFFICE
e14-8
(Signature of applicant)
(OVER)
Page data
- Page
- 258
- Source index
- 0
- Type
- photo
- Media ID
- 579473972af87738
- 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 bin: 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 visit, in transit)\n(State which)\nThe person in the United States I was 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\nMy last place of foreign residence was\nbrefied\n(City or town)\nGermany\nCountry)\npaid Stonington\nI am jus married. The of my {\nwife\nname\nis\nhusband\nKothryns edemmen\nShe\nHe\n}\nwas born at\nand\nnow resides at\nI renounce\nam avenue now a subject of and Stonington intend to allegiance to Gormany (Write title of sovereign the and country German of which subject;\nRuich\nname and now a\nor, If citizen of a Republic, write name of Republic only)\nI arrived at the United States Immigration port of\nNew york. (City\nor town)\nnewyork\n, on\n(State/ for territory)\nMay exact 30 month, day, 1911 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\n}\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 OFFICE\ne14-8\n(Signature of applicant)\n(OVER)"
}