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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
My
mother's
maiden name was Maris Saulnier
My maiden name was (if woman)
My post-office
address is Jewell City
The ticket on which I came to country was
this bought at Sherlrook PQ Canada
(City)
(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)
(State which)
I paid
8800 (State amount) head tax at Jachman (City)
maine
, on April 11 e 1924
(State or country)
(Month) (Day)
(Year)
I
was examined by immigration officers at Jachman maine
At
that time I intended to remain (permanently, temporarily, for visit, in transit) (State which)
permantly
The person in the United States I was coming to was
(Give name in full)
The place in the United States I going to Jackman Main
was was
The names of some of the persons or passengers I traveled with were
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
(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 PRENTING OFFICE 14-8
(OVER)
Philiffee (Signature Trontaine of applicant)
Page data
- Page
- 950
- Source index
- 0
- Type
- photo
- Media ID
- cbdc4900f129e349
- 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 full name of the person shown on my steamship ticket was\nMy\nmother's\nmaiden name was Maris Saulnier\nMy maiden name was (if woman)\nMy post-office\naddress is Jewell City\nThe ticket on which I came to country was\nthis bought at Sherlrook PQ Canada\n(City)\n(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)\n(State which)\nI paid\n8800 (State amount) head tax at Jachman (City)\nmaine\n, on April 11 e 1924\n(State or country)\n(Month) (Day)\n(Year)\nI\nwas examined by immigration officers at Jachman maine\nAt\nthat time I intended to remain (permanently, temporarily, for visit, in transit) (State which)\npermantly\nThe person in the United States I was coming to was\n(Give name in full)\nThe place in the United States I going to Jackman Main\nwas was\nThe names of some of the persons or passengers I traveled with were\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\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\nGOVERNMENT PRENTING OFFICE 14-8\n(OVER)\nPhiliffee (Signature Trontaine of applicant)"
}