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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 name on
full of the person shown my steamship ticket was Kmodry Sullivan
My mother's name was
maiden Kate Dennely
My maiden name was
(if woman) 476, notwich Come.
My
post-office
address is P.O. But waterville Part office Cookey Ineland
The ticket on which I came to country was
this bought at belieceveen bo Kenty
(City)
(Country)
Cunard
1st cabin
If arrival by ship: Name of steamship line was
2d cabin
3 blass
3d cabin
I
arrived as (passenger, stowaway, seaman, member of crew, or otherwise) Rassenger (State
which)
I traveled on (an immigration visa, a passport, a permit)
passport Inignation visa
(State which)
I paid 2.15.05 head tax at
on Dee
1924
,
(State amount)
(City)
(State or country)
(Month)
(Day)
(Year)
I was examined by immigration officers- at Q wonstour of New york
At that time to
I intended remain (permanently, temporarily, for visit, in transit) Temporarily
(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 Brooklyn
The names of some of the persons or passengers I traveled with were mary bustan. margaret Brennan
Timothy games B'Sullivan
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
The place in
Mexico
where I bought my railroad ticket to come to the United States was
GOVERNMENT PRENTING OFFICE 14-
(OVER)
(Signature of applicant)
Page data
- Page
- 813
- Source index
- 0
- Type
- photo
- Media ID
- 04f9121edd2c4bf4
- 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 name in this country than that given at the beginning of this form. If so, it was,\nI used that name because\nThe name on\nfull of the person shown my steamship ticket was Kmodry Sullivan\nMy mother's name was\nmaiden Kate Dennely\nMy maiden name was\n(if woman) 476, notwich Come.\nMy\npost-office\naddress is P.O. But waterville Part office Cookey Ineland\nThe ticket on which I came to country was\nthis bought at belieceveen bo Kenty\n(City)\n(Country)\nCunard\n1st cabin\nIf arrival by ship: Name of steamship line was\n2d cabin\n3 blass\n3d cabin\nI\narrived as (passenger, stowaway, seaman, member of crew, or otherwise) Rassenger (State\nwhich)\nI traveled on (an immigration visa, a passport, a permit)\npassport Inignation visa\n(State which)\nI paid 2.15.05 head tax at\non Dee\n1924\n,\n(State amount)\n(City)\n(State or country)\n(Month)\n(Day)\n(Year)\nI was examined by immigration officers- at Q wonstour of New york\nAt that time to\nI intended remain (permanently, temporarily, for visit, in transit) Temporarily\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 Brooklyn\nThe names of some of the persons or passengers I traveled with were mary bustan. margaret Brennan\nTimothy games B'Sullivan\nADDITIONAL FACTS TO BE GIVEN IF ALIEN CAME FROM OR THROUGH CANADA OR MEXICO:\n)\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\nThe place in\nMexico\nwhere I bought my railroad ticket to come to the United States was\nGOVERNMENT PRENTING OFFICE 14-\n(OVER)\n(Signature of applicant)"
}