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OCR
of line Cunand
1st cabin
If by ship: Name steamship was
2d cabin
3d cabin
I arrived as (passenger, stowaway, seaman, member of crew, or otherwise)
Passage
I traveled on (an immigration visa, a passport, a permit)
hasport
(State whien)
(State which)
I paid
head tax at
, on
(State amount)
(City)
(State or country)
(Month)
(Day)
(Year)
I was examined by immigration officers at
At that time I intended to remain (permanently, temporarily, for visit, in transit)
(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
The names of some of the persons or passengers I traveled with were
said
My last place of foreign residence was A Dailshich
(City or town)
(Country)
I am not married. The name of my
{
wife
She
I
IS
husband
He
/
was born at
, and now resides at
I am now a subject renounce
of and intend to allegiance to the (Write Republic and title of sovereign and of poland of which subject;
name country now a
or, if citizen of a Republic, write name of Republic only)
I arrived at the United States Immigration port of
Phaladelphia
Penns.
(City or town)
non
1913
, on
(State or territory)
(Give exact month, day, and year)
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)
(b) The place in
{
Canada
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
Philadelphia
(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
GOVRRMMENT PRINTING OFFICE
e14-8
(OVER)
Byjon (Signature of applicant)
Sebleife
Page data
- Page
- 9
- Source index
- 0
- Type
- photo
- Media ID
- 56c4ab20b8bfd344
- 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": "of line Cunand\n1st cabin\nIf by ship: Name steamship was\n2d cabin\n3d cabin\nI arrived as (passenger, stowaway, seaman, member of crew, or otherwise)\nPassage\nI traveled on (an immigration visa, a passport, a permit)\nhasport\n(State whien)\n(State which)\nI paid\nhead tax at\n, on\n(State amount)\n(City)\n(State or country)\n(Month)\n(Day)\n(Year)\nI was examined by immigration officers at\nAt that time I intended to remain (permanently, temporarily, for visit, in transit)\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\nThe names of some of the persons or passengers I traveled with were\nsaid\nMy last place of foreign residence was A Dailshich\n(City or town)\n(Country)\nI am not married. The name of my\n{\nwife\nShe\nI\nIS\nhusband\nHe\n/\nwas born at\n, and now resides at\nI am now a subject renounce\nof and intend to allegiance to the (Write Republic and title of sovereign and of poland of which subject;\nname country now a\nor, if citizen of a Republic, write name of Republic only)\nI arrived at the United States Immigration port of\nPhaladelphia\nPenns.\n(City or town)\nnon\n1913\n, on\n(State or territory)\n(Give exact month, day, and year)\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(b) The place in\n{\nCanada\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\nPhiladelphia\n(e) If not examined, state why, and give the circumstances of your entry\nCanada\nf The place in\nMexico\nwhere I bought my railroad ticket to come to the United States was\nGOVRRMMENT PRINTING OFFICE\ne14-8\n(OVER)\nByjon (Signature of applicant)\nSebleife"
}