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I have
used another name in this country than that given at the beginning of this form. If so, it was
for Einar anderson
I used that name because TTTY fathers name is / hone in this Anderson country also a brather
The full name of the person shown on
my steamship ticket was Johan Einas Johansson
My mother's maiden name was
agusta Haus can
My maiden name was (if woman)
My post-office address is
153 Raker are Pitan
Com
The on came country was at
ticket which I to this bought montrial Canada
(City)
(Country)
1st cabin
If arrival by ship: Name of steamship line was
2d cabin
3d cabin
}
I arrived as (passenger, stowaway, seaman, member of crew, or otherwise)
passenger
(State which)
I traveled on (an immigration visa, a passport, a permit)
Pasopart
(State which)
I paid $9
head tax at
montrear Gannada on Nov is 1936
,
(State amount)
(City)
(State or country)
(Month)
(Day)
(Year)
I was examined by immigration officers at
american Consultunaters Cannot
At that time I intended to remain (permanently, temporarily, for visit, in transit)
Permanently
(State which)
The person in the United States I was coming to
was Karl In anderson
(Give name in full)
The place in the United States I was going to was
Gradan Cam
The names of some of the persons or passengers I traveled with were
ADDITIONAL FACTS TO BE GIVEN IF ALIEN CAME From OR THROUGH CANADA OR MEXICO:
(a) The
place in Canada where I landed was Halixek , on Feb 14 1926
(Month)
(Day)
(Year)
Canada
(b) The place in
Menico
from which I entered the United States was - s land Point Vermont
(c) On
Now
is
1926
(d) The where I american
(Month)
(Day)
(Year)
place was examined for admission at the United States border was
Cansul montreal Canada
(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
montress Canada
GOVERNMENT PRINTING OFFICE 14-8
(OVER)
Johan (Signature of applicant)
Einas Jahanna
Page data
- Page
- 694
- Source index
- 0
- Type
- photo
- Media ID
- 3bcce4d7a6a16264
- 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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"core": "doc",
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}
Document source metadata
{
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"sourceUrl": "https://catalog.archives.gov/id/159596813",
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"citationUrl": "https://catalog.archives.gov/id/159596813",
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Document source extras
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"onlineResources": [
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"note": "This file was scanned as part of a collaboration effort between FamilySearch and the National Archives.",
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Page context
{
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"pageIndex": 0,
"type": "photo",
"url": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships-0002/18-0177_US-MA/18-0177_US-MA_21/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930_00694.jpg",
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"ocrText": "I have\nused another name in this country than that given at the beginning of this form. If so, it was\nfor Einar anderson\nI used that name because TTTY fathers name is / hone in this Anderson country also a brather\nThe full name of the person shown on\nmy steamship ticket was Johan Einas Johansson\nMy mother's maiden name was\nagusta Haus can\nMy maiden name was (if woman)\nMy post-office address is\n153 Raker are Pitan\nCom\nThe on came country was at\nticket which I to this bought montrial Canada\n(City)\n(Country)\n1st cabin\nIf arrival by ship: Name of steamship line was\n2d cabin\n3d cabin\n}\nI arrived as (passenger, stowaway, seaman, member of crew, or otherwise)\npassenger\n(State which)\nI traveled on (an immigration visa, a passport, a permit)\nPasopart\n(State which)\nI paid $9\nhead tax at\nmontrear Gannada on Nov is 1936\n,\n(State amount)\n(City)\n(State or country)\n(Month)\n(Day)\n(Year)\nI was examined by immigration officers at\namerican Consultunaters Cannot\nAt that time I intended to remain (permanently, temporarily, for visit, in transit)\nPermanently\n(State which)\nThe person in the United States I was coming to\nwas Karl In anderson\n(Give name in full)\nThe place in the United States I was going to was\nGradan Cam\nThe names of some of the persons or passengers I traveled with were\nADDITIONAL FACTS TO BE GIVEN IF ALIEN CAME From OR THROUGH CANADA OR MEXICO:\n(a) The\nplace in Canada where I landed was Halixek , on Feb 14 1926\n(Month)\n(Day)\n(Year)\nCanada\n(b) The place in\nMenico\nfrom which I entered the United States was - s land Point Vermont\n(c) On\nNow\nis\n1926\n(d) The where I american\n(Month)\n(Day)\n(Year)\nplace was examined for admission at the United States border was\nCansul montreal Canada\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\nmontress Canada\nGOVERNMENT PRINTING OFFICE 14-8\n(OVER)\nJohan (Signature of applicant)\nEinas Jahanna"
}