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If by ship Name of steamship line was
2d 1st cabin 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
names of some of the persons or passengers I traveled with were
said
Wakshich
white Russia
My last place of foreign residence was A
(City or town)
(Country)
{
wife
She
I am
married. The name of my
is
was born at
husband
said Dakshiel
and now resides at
said Preston at He Can
I am now a subject of and intend
to renounce allegiance , to and of hich subject;
(Write nameland title of sovereign country now a
or, if citizen of a Republic, write name of Republic only)
I arrived at the United States Immigration port of
Philadelphia
Penni
nor.
(City or town)
1913
, on
(State or territory)
(Give exact month, day, and year)
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)
{
Canada
(b) The place in
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
(A) The place in
Mexico
where I bought my railroad ticket to come to the United States was
Darrel Sehleifer
GOVIRNMENT PRINTING
e14-8
(Signature of applicant)
(OVER)
Page data
- Page
- 7
- Source index
- 0
- Type
- photo
- Media ID
- c074957dca5ebdfe
- 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": "If by ship Name of steamship line was\n2d 1st cabin 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\nnames of some of the persons or passengers I traveled with were\nsaid\nWakshich\nwhite Russia\nMy last place of foreign residence was A\n(City or town)\n(Country)\n{\nwife\nShe\nI am\nmarried. The name of my\nis\nwas born at\nhusband\nsaid Dakshiel\nand now resides at\nsaid Preston at He Can\nI am now a subject of and intend\nto renounce allegiance , to and of hich subject;\n(Write nameland title of sovereign country now a\nor, if citizen of a Republic, write name of Republic only)\nI arrived at the United States Immigration port of\nPhiladelphia\nPenni\nnor.\n(City or town)\n1913\n, on\n(State or territory)\n(Give exact month, day, and year)\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{\nCanada\n(b) The place in\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(A) The place in\nMexico\nwhere I bought my railroad ticket to come to the United States was\nDarrel Sehleifer\nGOVIRNMENT PRINTING\ne14-8\n(Signature of applicant)\n(OVER)"
}