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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
int
I used that name because
The full name of the person shown on my steamship ticket was Annie Mabel Gibbon
My mother's maiden name was
margaret Schwartz
My maiden name was (if woman)
My post-office address is
The
ticket on which I came to this country was bought at Stewracke, nova Scotia
214 Broadway, nonwich Connecticut
(City)
(Country)
If
arrival by ship: Name of steamship line was yearmonth steamship
1st cabin
2d cabin
1st.Cabin
3d cabin
I arrived as (passenger, stowaway, seaman, member of crew, or otherwise) (State which)
passenger
I traveled on (an immigration visa, a passport, a permit) a passport (State
which)
I
paid $ 8.00 (State amount) head tax at stalifax (City) nova Scotia (State or country)
,
on July (Month) 22, (Day) 1926 (Year)
I was examined at
by immigration officers Halifar and noon Scotia
At
that time I intended to remain (permanently, temporarily, for visit, in transit) (State which)
permanently
The person in the United States I was coming to was mas lenge Rurdy (Give name in full) Franklin A. H
The place in the United States I was going to was Fraublin new stampshire
The names of some of the persons or passengers I traveled with were mrs Graddnefulton of
Launton, mass and misses Thypth Sandellament Ranning
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
5
(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
X anme mabel Gibbon
GOVERNMENT PRENTING OFFICE 14-
(OVER)
(Signature of applicant)
Page data
- Page
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- Source index
- 0
- Type
- photo
- Media ID
- e2c23be7d967600b
- 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\nint\nI used that name because\nThe full name of the person shown on my steamship ticket was Annie Mabel Gibbon\nMy mother's maiden name was\nmargaret Schwartz\nMy maiden name was (if woman)\nMy post-office address is\nThe\nticket on which I came to this country was bought at Stewracke, nova Scotia\n214 Broadway, nonwich Connecticut\n(City)\n(Country)\nIf\narrival by ship: Name of steamship line was yearmonth steamship\n1st cabin\n2d cabin\n1st.Cabin\n3d cabin\nI arrived as (passenger, stowaway, seaman, member of crew, or otherwise) (State which)\npassenger\nI traveled on (an immigration visa, a passport, a permit) a passport (State\nwhich)\nI\npaid $ 8.00 (State amount) head tax at stalifax (City) nova Scotia (State or country)\n,\non July (Month) 22, (Day) 1926 (Year)\nI was examined at\nby immigration officers Halifar and noon Scotia\nAt\nthat time I intended to remain (permanently, temporarily, for visit, in transit) (State which)\npermanently\nThe person in the United States I was coming to was mas lenge Rurdy (Give name in full) Franklin A. H\nThe place in the United States I was going to was Fraublin new stampshire\nThe names of some of the persons or passengers I traveled with were mrs Graddnefulton of\nLaunton, mass and misses Thypth Sandellament Ranning\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\n5\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\nX anme mabel Gibbon\nGOVERNMENT PRENTING OFFICE 14-\n(OVER)\n(Signature of applicant)"
}