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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 gisit, 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 traveled with were
residence was Monston New Arnowide Canades
said
My last place of foreign
(City or town)
is astrid hang Mccallan
(Country)
wife
She
I am
married. The name of my
was born at
He
Pantiac Rhode 2sland lanoband , and now said resides 35 at A
Cones
I am now a subject of and intend to renounce allegiance to
George
Qust (Write Britain. title of sovereign and country of which George subject;
name and now a
citizen of a Republic, write name of Republic V only tc.
or, if
I arrived at the United States Immigration port of
Vanceboro
(City or town)
Maine
,
on October
1905
(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
Chailes Lekarow m I cellaw
PRINTING
e14-8
(Signature of applicant)
(OVER)
Page data
- Page
- 39
- Source index
- 0
- Type
- photo
- Media ID
- 76a7c9377e45de9d
- 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 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 gisit, 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 traveled with were\nresidence was Monston New Arnowide Canades\nsaid\nMy last place of foreign\n(City or town)\nis astrid hang Mccallan\n(Country)\nwife\nShe\nI am\nmarried. The name of my\nwas born at\nHe\nPantiac Rhode 2sland lanoband , and now said resides 35 at A\nCones\nI am now a subject of and intend to renounce allegiance to\nGeorge\nQust (Write Britain. title of sovereign and country of which George subject;\nname and now a\ncitizen of a Republic, write name of Republic V only tc.\nor, if\nI arrived at the United States Immigration port of\nVanceboro\n(City or town)\nMaine\n,\non October\n1905\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\nChailes Lekarow m I cellaw\nPRINTING\ne14-8\n(Signature of applicant)\n(OVER)"
}