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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 I used that name because my family changed name to Rubin Jacob Rubin Huscard The full name of the person shown on my steamship ticket was yankili Dubner My mother's maiden name, was Joba Weiner My maiden name was (if woman) My post-office address is Belanon, Ch. The ticket on which I came to this country was bought at Hemberg (City) (Country) Girming If arrival by ship: Name of steamship line was Hemlynn amain 1st cabin 2d cabin 3d cabin } I arrived as (passenger, stowaway, seaman, member of crew, or otherwise) (State which) previously 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 new your At that time I intended to remain (permanently, temporarily, for visit, in transit) Joreman The person in the United States I was coming to was brother (State which) more Ruhin (Give name in full) The place in the United States I going was new york was to The names of some of the persons or passengers I traveled with were Dont remember 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 GOVERNMENT PRINTING OFFICE 14-8 (OVER) (Signature of applicant)

Page data

Page
856
Source index
0
Type
photo
Media ID
75c6d836bbe87b50
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
{
    "id": "159596813",
    "sourceUrl": "https://catalog.archives.gov/id/159596813",
    "contentType": "document",
    "title": "File numbers 4874 - 5509, 1926-1930",
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        "Naturalization Records of Non-Federal Courts in Connecticut",
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Document source extras
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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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    "ocrText": "I have\nused another name in this country than that given at the beginning of this form. If so, it was\nI used that name because my family changed name to Rubin\nJacob Rubin\nHuscard\nThe full name of the person shown on my steamship ticket was yankili Dubner\nMy mother's maiden name, was\nJoba Weiner\nMy maiden name was (if woman)\nMy post-office address is Belanon, Ch.\nThe ticket on which I came to this country was bought at Hemberg (City) (Country) Girming\nIf\narrival by ship: Name of steamship line was Hemlynn amain\n1st cabin\n2d cabin\n3d cabin\n}\nI arrived as (passenger, stowaway, seaman, member of crew, or otherwise) (State which)\npreviously\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) (Day) (Year)\nI was examined by immigration officers at\nnew your\nAt that time I intended to remain (permanently, temporarily, for visit, in transit)\nJoreman\nThe person in the United States I was coming to was brother\n(State which)\nmore Ruhin\n(Give name in full)\nThe place in the United States I going was new york\nwas to\nThe names of some of the persons or passengers I traveled with were\nDont remember\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(f) The place in\nMexico\nwhere I bought my railroad ticket to come to the United States was\nGOVERNMENT PRINTING OFFICE 14-8\n(OVER)\n(Signature of applicant)"
}