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I have not used another name in this country than that given at the beginning of this form. If so, it was
I used that name because
The
full name of the person shown on my steamship ticket was bharles John Sibley
My mother's maiden name was
mary. Pitchet.
My maiden name was (if woman)
My
post-office address is 203 West Town Streek horwich bonn
The ticket on which I came to this country was bought at Guelph (City) Canada. (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)
(State which
I traveled on (an immigration visa, a passport, a permit)
Immigration
(State which) Visa
I
paid 8dollars (State amount) head tax at niagara (Qity) Falls (State n country) Y.
, on nov / 1923
or
(Month)
(Day)
(Year)
I was examined by immigration officers at
niagara falls h Y
At
that time I intended to remain (permanently, temporarily, for visit, in transit) (State which)
Permanently
The person in was coming to was
the United States I Charles William Evans
(Give name in full)
The place in the United States I was going to was norwich Connecticut
The names of some of the persons or passengers I traveled with were
none known
ADDITIONAL FACTS TO BE GIVEN IF ALIEN CAME FROM OR THROUGH CANADA OR MEXICO:
(a) The place in Canada where I landed was St John n.B. , on april (Month) (Day) 2 1923 Year)
{
Canada
(b) The place in
from which I entered the United States was
Mexico
(c) On november
, 18
Guelph.
1923
(Month)
(Day)
(Year)
(d) was at was
The place where I examined for admission the United States border niagara
Falls new York.
(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
Guelph Ontare Canada
GOVERNMENT PRINTING OFFICE 14-8
(OVER)
bharles (Signature of sibley. applicant)
Page data
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- Type
- photo
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Document data
- ID
- 159596813
- Core
- doc
- Type
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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 name in this country than that given at the beginning of this form. If so, it was\nI used that name because\nThe\nfull name of the person shown on my steamship ticket was bharles John Sibley\nMy mother's maiden name was\nmary. Pitchet.\nMy maiden name was (if woman)\nMy\npost-office address is 203 West Town Streek horwich bonn\nThe ticket on which I came to this country was bought at Guelph (City) Canada. (Country)\n1st cabin\nIf arrival by ship: Name of steamship line was\n2d 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)\nImmigration\n(State which) Visa\nI\npaid 8dollars (State amount) head tax at niagara (Qity) Falls (State n country) Y.\n, on nov / 1923\nor\n(Month)\n(Day)\n(Year)\nI was examined by immigration officers at\nniagara falls h Y\nAt\nthat time I intended to remain (permanently, temporarily, for visit, in transit) (State which)\nPermanently\nThe person in was coming to was\nthe United States I Charles William Evans\n(Give name in full)\nThe place in the United States I was going to was norwich Connecticut\nThe names of some of the persons or passengers I traveled with were\nnone known\nADDITIONAL FACTS TO BE GIVEN IF ALIEN CAME FROM OR THROUGH CANADA OR MEXICO:\n(a) The place in Canada where I landed was St John n.B. , on april (Month) (Day) 2 1923 Year)\n{\nCanada\n(b) The place in\nfrom which I entered the United States was\nMexico\n(c) On november\n, 18\nGuelph.\n1923\n(Month)\n(Day)\n(Year)\n(d) was at was\nThe place where I examined for admission the United States border niagara\nFalls new York.\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\nGuelph Ontare Canada\nGOVERNMENT PRINTING OFFICE 14-8\n(OVER)\nbharles (Signature of sibley. applicant)"
}