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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
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- 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"
}