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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 The full name of the person shown on my steamship ticket was My mother's maiden name was Mx maiden name was (if woman) My post-office address is The ticket on which I came to this country was bought at (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 immigr tion 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 At that time I intended to remain (permenently, 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 ADDITIONAL FACTS TO BE Given IF ALIEN CAME From OR THRQUGH 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 bor 1er was (e) If not examined, state why, and give the circumstances of your entry (f) The place in { Canada Mexico where I bought my railroad ticket to come to the United States was PRINTING 14-8 (OVER) (Signature of applicant)

Page data

Page
968
Source index
0
Type
photo
Media ID
19dd8cd6a7b7eede
Size
unknown

Document data

ID
159596813
Core
doc
Type
document
DTO data
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    "contentType": "document",
    "title": "File numbers 4874 - 5509, 1926-1930",
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}

Context sent to Scholar

Document identity
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    "label": "File numbers 4874 - 5509, 1926-1930",
    "core": "doc",
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    "citationUrl": "https://catalog.archives.gov/id/159596813"
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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",
    "citationUrl": "https://catalog.archives.gov/id/159596813",
    "collections": [
        "Naturalization Records of Non-Federal Courts in Connecticut",
        "Applications for Declaration of Intention"
    ],
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Document source extras
{
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    "naId": 159596813,
    "levelOfDescription": "fileUnit",
    "onlineResources": [
        {
            "description": "FamilySearch",
            "note": "This file was scanned as part of a collaboration effort between FamilySearch and the National Archives.",
            "url": "https://www.familysearch.org/search/catalog/results?count=20&query=%2Bkeywords%3A4526886%20%2Bkeywords%3ANational%20%2Bkeywords%3AArchives"
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    "recordType": "description",
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Page context
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    "seq": 968,
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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\nThe full name of the person shown on my steamship ticket was\nMy mother's maiden name was\nMx maiden name was (if woman)\nMy post-office address is\nThe ticket on which I came to this country was bought at\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 immigr tion visa, a passport, a permit)\n(State which)\nI paid\nhead tax at\n, on\n(State amount)\n(City)\n(State or country)\nMonth)\n(Day)\n(Year)\nI was examined by immigration officers at\nAt that time I intended to remain (permenently, 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\nADDITIONAL FACTS TO BE Given IF ALIEN CAME From OR THRQUGH CANADA OR MEXICO:\n(a) The place in Canada where I landed was\n, on\n(Month)\n(Day)\n(Year)\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 bor 1er was\n(e) If not examined, state why, and give the circumstances of your entry\n(f) The place in\n{\nCanada\nMexico\nwhere I bought my railroad ticket to come to the United States was\nPRINTING\n14-8\n(OVER)\n(Signature of applicant)"
}