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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 was
ticket antonio Santos
My mother's maiden name was
My maiden name was (if woman)
My post-office
The ticket on which I came to this country was bought at Pata Delgada (City) Portugal (Country)
address is No. 4, tross Street Stenington Conn.
If arrival by ship: Name of steamship line was W hite star fine
1st cabin
20 cabin
3d.
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)
(State or country)
(Month)
(Day)
(Year)
I was examined by immigration officers at (City) abad shif
At that time
I intended to remain (permanently, temporarily, for visit, in transit) (State which)
The in the United States I was coming to was manano santor Poute
permaningly
person
(Givenname in full)
The place in the United States I was going to was
Storington
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)
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
Canada
(f) The place in
Mexico
where I bought my railroad ticket to come to the United States was
antonio santos
GOVERNMENT PIMNTING OFFICE 14-8
(OVER)
(Signature of applicant)
Page data
- Page
- 1229
- Source index
- 0
- Type
- photo
- Media ID
- 795c79a96b334239
- 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 was\nticket antonio Santos\nMy mother's maiden name was\nMy maiden name was (if woman)\nMy post-office\nThe ticket on which I came to this country was bought at Pata Delgada (City) Portugal (Country)\naddress is No. 4, tross Street Stenington Conn.\nIf arrival by ship: Name of steamship line was W hite star fine\n1st cabin\n20 cabin\n3d.\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 no head tax at\n, on\n(State amount)\n(State or country)\n(Month)\n(Day)\n(Year)\nI was examined by immigration officers at (City) abad shif\nAt that time\nI intended to remain (permanently, temporarily, for visit, in transit) (State which)\nThe in the United States I was coming to was manano santor Poute\npermaningly\nperson\n(Givenname in full)\nThe place in the United States I was going to was\nStorington\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)\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\nCanada\n(f) The place in\nMexico\nwhere I bought my railroad ticket to come to the United States was\nantonio santos\nGOVERNMENT PIMNTING OFFICE 14-8\n(OVER)\n(Signature of applicant)"
}