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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 traveled with were
My last place of foreign residence was said wife (City
married. The name of my
{
or aircussifications town) She
I am
is
was born at
Odense, Denmark husband and now resides at said briswold He
I am now a subject of and intend to renounce allegiance to christianX, (Write name and title of sovereign Kingof and country ofwhich now a
subject;
or, if name
I
arrived citizen at of a the Republic, United write States of Republic Immigration only) port of Christian Auging of
(State territory) on newyork, (City (Give or exact town) month, day, and October year) 27,
or
ADDITIONAL FACTS TO BE GIVEN IF ALIEN CAME From OR THROUGH CANADA OR MEXICO:
1915
(a) The place in Canada where I landed was
, on
(Month)
(Day)
(Year)
(b) The place in
{
Canada
Mexico
}
from which I entered the United States was
(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
GOVERNMENT PRINTING OFFICE
e14-8
(Signature of applicant)
(OVER)
Page data
- Page
- 47
- Source index
- 0
- Type
- photo
- Media ID
- 3b18dc8e824bfa23
- 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 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 traveled with were\nMy last place of foreign residence was said wife (City\nmarried. The name of my\n{\nor aircussifications town) She\nI am\nis\nwas born at\nOdense, Denmark husband and now resides at said briswold He\nI am now a subject of and intend to renounce allegiance to christianX, (Write name and title of sovereign Kingof and country ofwhich now a\nsubject;\nor, if name\nI\narrived citizen at of a the Republic, United write States of Republic Immigration only) port of Christian Auging of\n(State territory) on newyork, (City (Give or exact town) month, day, and October year) 27,\nor\nADDITIONAL FACTS TO BE GIVEN IF ALIEN CAME From OR THROUGH CANADA OR MEXICO:\n1915\n(a) The place in Canada where I landed was\n, on\n(Month)\n(Day)\n(Year)\n(b) The place in\n{\nCanada\nMexico\n}\nfrom which I entered the United States was\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\nGOVERNMENT PRINTING OFFICE\ne14-8\n(Signature of applicant)\n(OVER)"
}