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I have not used another in this than that the of
name country given at beginning this form. If so, it was
I used that name because
The full name of the person shown on my steamship ticket was Georgion Kadianes
My Demetra
mother's maiden name was
My maiden name was (if woman) checkmark_ntt
My post-office address
is 5 Hill st., norwich boun
The ticket on which I came to this country was bought at
Patras = Greece
(City)
(Country)
If by ship: steamship was
arrival Name of line bunard N.
st cabin
2d Leabin
3rd
3d cabin
I as or
arrived (passenger, stowaway, seaman, member of crew, otherwise) (State which)
passenger
I traveled on (an immigration visa, a passport, a permit)
passport
(State which)
I paid N head tax
at
, on
(State amount)
(City)
(State or country)
(Month) (Day) (Year)
I was examined by immigration officers at
At to
that time I intended remain (permanently, temporarily, for visit, in transit) (State which)
The person in the United States I was coming to was Anastasia Kadianes
permanently
(Give name in full)
The was to
place in the United States I going was titchburg, yas
The names of some of the persons or passengers I traveled with were
antonio Kratemenos
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
(f) The place in
Mexico
where I bought my railroad ticket to come to the United States was
Georgios /radiunes
GOVERNMENT PRENTING OFFICE 14-8
(OVER)
(Signature of applicant)
Page data
- Page
- 741
- Source index
- 0
- Type
- photo
- Media ID
- 96e207bf6113b49d
- 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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"levelOfDescription": "fileUnit",
"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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"recordType": "description",
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Page context
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"seq": 741,
"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_00741.jpg",
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"ocrText": "I have not used another in this than that the of\nname country given at beginning this form. If so, it was\nI used that name because\nThe full name of the person shown on my steamship ticket was Georgion Kadianes\nMy Demetra\nmother's maiden name was\nMy maiden name was (if woman) checkmark_ntt\nMy post-office address\nis 5 Hill st., norwich boun\nThe ticket on which I came to this country was bought at\nPatras = Greece\n(City)\n(Country)\nIf by ship: steamship was\narrival Name of line bunard N.\nst cabin\n2d Leabin\n3rd\n3d cabin\nI as or\narrived (passenger, stowaway, seaman, member of crew, otherwise) (State which)\npassenger\nI traveled on (an immigration visa, a passport, a permit)\npassport\n(State which)\nI paid N head tax\nat\n, on\n(State amount)\n(City)\n(State or country)\n(Month) (Day) (Year)\nI was examined by immigration officers at\nAt to\nthat time I intended remain (permanently, temporarily, for visit, in transit) (State which)\nThe person in the United States I was coming to was Anastasia Kadianes\npermanently\n(Give name in full)\nThe was to\nplace in the United States I going was titchburg, yas\nThe names of some of the persons or passengers I traveled with were\nantonio Kratemenos\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)\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(f) The place in\nMexico\nwhere I bought my railroad ticket to come to the United States was\nGeorgios /radiunes\nGOVERNMENT PRENTING OFFICE 14-8\n(OVER)\n(Signature of applicant)"
}