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I have Not used another in this than that given the of this name country at beginning form. If so, it was I used that name because The full name of the person shown on my steamship ticket was John Robert Hilroy Burns My mother's maiden name was Mary gane Whitfield My maiden name was (if woman) My post-office address is None The ticket on which I came to this country was bought at Leeds England (City) (Country) If arrival by ship: Name of steamship line was White Star Line 1st cabin 2d cabin good babin 3d cabin I arrived as (passenger, stowaway, seaman, member of crew, or otherwise) Passenger (Statewhich) I traveled on (an immigration visa, a passport, a permit) Immigration Visa (State which) I paid 35 S. head tax at Leeds England on April geth 1927 (State amount) (City) (State or country) (Month) (Day) (Year) I was examined by immigration officers at diverpool At that time I intended to remain (permanently, temporarily, for visit, in transit) Permanently The person in was coming to was the United States I Sam Kershaw (State which) (Give name in full) The place in the United States I was going to was 11 Dcane St Groton bonn. The names of some of the persons or passengers I traveled with were George Mallard, of 7 Caulfield 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 PRENTING OFFICE 14-t (OVER) John Robert (Signature of Hitroy applicant) Burns

Page data

Page
608
Source index
0
Type
photo
Media ID
4f690668ac8c6a0e
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": "I have Not used another in this than that given the of this\nname country at beginning form. If so, it was\nI used that name because\nThe full name of the person shown on my steamship ticket was John Robert Hilroy Burns\nMy mother's maiden name was\nMary gane Whitfield\nMy maiden name was (if woman)\nMy post-office address is\nNone\nThe ticket on which I came to this country was bought at\nLeeds\nEngland\n(City)\n(Country)\nIf arrival by ship: Name of steamship line was White Star Line\n1st cabin\n2d cabin\ngood babin\n3d cabin\nI arrived as (passenger, stowaway, seaman, member of crew, or otherwise)\nPassenger\n(Statewhich)\nI traveled on (an immigration visa, a passport, a permit)\nImmigration\nVisa\n(State which)\nI paid 35 S. head tax at\nLeeds\nEngland on April geth 1927\n(State amount)\n(City)\n(State or country)\n(Month) (Day) (Year)\nI was examined by immigration officers at\ndiverpool\nAt that time I intended to remain (permanently, temporarily, for visit, in transit)\nPermanently\nThe person in was coming to was\nthe United States I Sam Kershaw\n(State which)\n(Give name in full)\nThe place in the United\nStates I was going to was 11 Dcane St Groton bonn.\nThe names of some of the persons or passengers I traveled with were George Mallard,\nof 7 Caulfield\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 PRENTING OFFICE\n14-t\n(OVER)\nJohn Robert (Signature of Hitroy applicant) Burns"
}