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2761 87 d38
I
have not used another name in this country than that given at the beginning of this form. If so, it was
'*
I used that name because
The full name of the shown on steamship ticket was Putro bullotte
person my
My mother's maiden name was maria
My maiden name was (if woman)
My post-office address is 48 mt Pleasant St Novich, Come
The ticket on which I came to this country was bought at
Palerms
(City)
(Country)
Italy
Consulviet
1st cabin
If arrival by ship: Name of steamship line was
20 cabin
3rd
3d cabin
I arrived as (passenger, stowaway, seaman, member of crew, or otherwise)
passenger
(State)vhich)
I traveled on (an immigration visa, a passport, a permit)
passport
(State which)
I paid
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)
permanently
The to was
person in the United States I was coming Guisepper (Give bullotta name in full) (ather)
The place in the United States I going to was Norurch Come
was
The names of some of the persons or passengers I traveled with were
Pathi Sebastiano
Angelins Pathi
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)
(b) The place in
{
Canada
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
GOVERNMENT PRINTING OFFICE 14-t
8
(OVER)
Extra Callotta (Signature
of applicant)
Page data
- Page
- 533
- Source index
- 0
- Type
- photo
- Media ID
- 4b14abac10475ca4
- Size
- unknown
Document data
- ID
- 159596813
- Core
- doc
- Type
- document
DTO data
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"title": "File numbers 4874 - 5509, 1926-1930",
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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": "2761 87 d38\nI\nhave not used another name in this country than that given at the beginning of this form. If so, it was\n'*\nI used that name because\nThe full name of the shown on steamship ticket was Putro bullotte\nperson my\nMy mother's maiden name was maria\nMy maiden name was (if woman)\nMy post-office address is 48 mt Pleasant St Novich, Come\nThe ticket on which I came to this country was bought at\nPalerms\n(City)\n(Country)\nItaly\nConsulviet\n1st cabin\nIf arrival by ship: Name of steamship line was\n20 cabin\n3rd\n3d cabin\nI arrived as (passenger, stowaway, seaman, member of crew, or otherwise)\npassenger\n(State)vhich)\nI traveled on (an immigration visa, a passport, a permit)\npassport\n(State which)\nI paid\ntax at\n, on\n(State amount)\n(City)\n(State or country)\n(Month) (Day) (Year)\nI was examined by immigration officers at\nAt that time I intended to remain (permanently, temporarily, for visit, in transit) (State which)\npermanently\nThe to was\nperson in the United States I was coming Guisepper (Give bullotta name in full) (ather)\nThe place in the United States I going to was Norurch Come\nwas\nThe names of some of the persons or passengers I traveled with were\nPathi Sebastiano\nAngelins Pathi\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(b) The place in\n{\nCanada\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\nGOVERNMENT PRINTING OFFICE 14-t\n8\n(OVER)\nExtra Callotta (Signature\nof applicant)"
}