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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)"
}