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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
Andrey Makas
My mother's
maiden name was Anna Bicovsky
-
My maiden name was (if woman)
My
post-office address is RFD#1 Colchester , Connection
The ticket on which I came to this country was bought at
Libava
Russia
(City)
(Country)
If arrival by ship: Name of steamship line was
Anchor Line
{
2d 1st cabin cabin
3 cabin
3d cabin
I arrived as (passenger, stowaway, seaman, member of crew, or otherwise)
passenge
(State which)
I traveled on (an immigration visa, a passport, a permit)
passport
(State which)
I paid
No
head tax at
, on
(State amount)
(City)
(State or country)
(Month)
(Day)
(Year)
I was examined by immigration officers at
New York.
New York
At
that time I intended to remain (permanently, temporarily, for visit, in transit) (Stato which)
permanently
The person in the United States I was coming to was my brother Moses Mackas
(Give name in full)
The place in the United States I was going to was
New York City, N.Y.
The names of some of the persons or passengers I traveled with were Philip
Kaleda
ADDITIONAL FAOTS TO BE GIVEN IF ALTEN CAME From OR THROUGH CANIDA 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
(e) If not examined, state why, and give the circumstances of your entry
(f) The place in
t
Canada
Mexico
where I bought my railroad ticket to come to the United States was
andrew
Cendow mackas
SOVEENMENT PRINTING OFFICE
14-
(OVER)
(Signature of applicant)
Page data
- Page
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- Source index
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- Type
- photo
- Media ID
- 31b3a9bff866d7de
- 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\nhave 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\n-\nThe full name of the person shown on my steamship ticket was\nAndrey Makas\nMy mother's\nmaiden name was Anna Bicovsky\n-\nMy maiden name was (if woman)\nMy\npost-office address is RFD#1 Colchester , Connection\nThe ticket on which I came to this country was bought at\nLibava\nRussia\n(City)\n(Country)\nIf arrival by ship: Name of steamship line was\nAnchor Line\n{\n2d 1st cabin cabin\n3 cabin\n3d cabin\nI arrived as (passenger, stowaway, seaman, member of crew, or otherwise)\npassenge\n(State which)\nI traveled on (an immigration visa, a passport, a permit)\npassport\n(State which)\nI paid\nNo\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\nNew York.\nNew York\nAt\nthat time I intended to remain (permanently, temporarily, for visit, in transit) (Stato which)\npermanently\nThe person in the United States I was coming to was my brother Moses Mackas\n(Give name in full)\nThe place in the United States I was going to was\nNew York City, N.Y.\nThe names of some of the persons or passengers I traveled with were Philip\nKaleda\nADDITIONAL FAOTS TO BE GIVEN IF ALTEN CAME From OR THROUGH CANIDA OR Mexico:\n(a) The place in Canada where I landed was\n, on\n(Month) (Day) (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\n(e) If not examined, state why, and give the circumstances of your entry\n(f) The place in\nt\nCanada\nMexico\nwhere I bought my railroad ticket to come to the United States was\nandrew\nCendow mackas\nSOVEENMENT PRINTING OFFICE\n14-\n(OVER)\n(Signature of applicant)"
}