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1st cabin
19
If by ship: Name of steamship line was
2d cabin
3d cabin
I arrived as (passenger, stowaway, seaman, member of crew, or otherwise)
Passenger
(State which)
I traveled on (an immigration visa, a passport, a permit)
No papers required
(State which)
I paid
none head tax at
, on
(State amount)
(City)
(State or country)
(Month)
(Day)
(Year)
I was examined by immigration officers at
Montreal
At that time I intended to remain (permanently, temporarily, for visit, in transit)
Permanently
(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
New London,
The names of some of the persons or passengers I traveled with were
George Potter (Jather)
Elizabeth
Potter
(Mother
)
James
Potter
(Brother
)
George
Potter
Jr.
(brother
said
My last place of foreign residence was A Montreal Gunuda
(City or town)
{
wife
Bell
adab (Country) the She
I am yes married. The name of my
is
was born at
husband
said
He
Preston, Conn.
,
and now resides at
114 Shaw St., New London, Ot.
A
I am nowa subject of and intend to renounce allegiance to
Dominon of Canada, King george
(Write name and title of sovereign and country of which now a subject;
or,
if citizen of a Republic, write name of Republic
George Vite only)
I arrived at the United States Immigration port of
Rouse's Point,
(City or town)
New York
, on
August 1903.
(State or territory)
(Give exact month, day, and year)
ADDITIONAL FACTS TO BE GIVEN IF ALIEN CAME From OR THROUGH CANADA OR MEXICO:
36
(a) The place in Canada where I landed was
, on
(Month)
(Day)
(Year)
{
Canada
3
(b) The place in
-
from which I entered the United States was
Montreal
Mexico
38
(c) On
(Month) August
1903
(Day)
(Year)
(d) The place where I was examined for admission at the United States border was
Rouse's Point
(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
Montreal, Canada.
xWilliam Patter
Jhon
GOVERNHENT
e14-8
(Signature of applicant)
(OVER)
Page data
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- 96
- Source index
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- Type
- photo
- Media ID
- e5c492a04a21e13b
- 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": "1 maf\n1st cabin\n19\nIf by ship: Name of steamship line was\n2d cabin\n3d cabin\nI arrived as (passenger, stowaway, seaman, member of crew, or otherwise)\nPassenger\n(State which)\nI traveled on (an immigration visa, a passport, a permit)\nNo papers required\n(State which)\nI paid\nnone head 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\nMontreal\nAt that time I intended to remain (permanently, temporarily, for visit, in transit)\nPermanently\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\nNew London,\nThe names of some of the persons or passengers I traveled with were\nGeorge Potter (Jather)\nElizabeth\nPotter\n(Mother\n)\nJames\nPotter\n(Brother\n)\nGeorge\nPotter\nJr.\n(brother\nsaid\nMy last place of foreign residence was A Montreal Gunuda\n(City or town)\n{\nwife\nBell\nadab (Country) the She\nI am yes married. The name of my\nis\nwas born at\nhusband\nsaid\nHe\nPreston, Conn.\n,\nand now resides at\n114 Shaw St., New London, Ot.\nA\nI am nowa subject of and intend to renounce allegiance to\nDominon of Canada, King george\n(Write name and title of sovereign and country of which now a subject;\nor,\nif citizen of a Republic, write name of Republic\nGeorge Vite only)\nI arrived at the United States Immigration port of\nRouse's Point,\n(City or town)\nNew York\n, on\nAugust 1903.\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:\n36\n(a) The place in Canada where I landed was\n, on\n(Month)\n(Day)\n(Year)\n{\nCanada\n3\n(b) The place in\n-\nfrom which I entered the United States was\nMontreal\nMexico\n38\n(c) On\n(Month) August\n1903\n(Day)\n(Year)\n(d) The place where I was examined for admission at the United States border was\nRouse's Point\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\nMontreal, Canada.\nxWilliam Patter\nJhon\nGOVERNHENT\ne14-8\n(Signature of applicant)\n(OVER)"
}