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b mis 1st cabin If by ship: Name of steamship line was Dout resall 24 cabin 3rd 3d cabin I arrived as (passenger, stowaway, seaman, member of crew, or otherwise) (Statewwich) passenger I traveled on (an immigration visa, a passport, a permit) passport (State which) I paid head tax at , on (State amount) (City) (State or country) (Month) (Day) (Year) I was examined by immigration officers at Ellis Island ny At that time I intended to remain (permanently, temporarily, for visit, in transit) (State which) The in the United States I coming to Feodoror semetrious Germanity person was was (Give name in full) The place in the United States I was going to was Danilson, Conn. The names of some of the persons or passengers I traveled with were Dont recall My I am last place of foreign residence The was of my said / wife (City is spathary or Jamie town) efformatic (Country She name was born at hughand , and now said resides at 27 Elm H. Homish, Conson I a renounce am now subject of and intend to allegiance to Republic (Write and title of sovereign of smoon and of which the Greek name country now a subject; or, if citizen of a Republic, write name of Republic only) Republic I arrived at the United States Immigration port of (State or about , on February (Give exact 1st month, day, and 1917 year) new (City or York town) n territory) y 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) (b) The place in { Canada 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 Demetrious OVERNMENT PRINTING OFFICE e14-8 (Signat of applicant) (OVER)

Page data

Page
274
Source index
0
Type
photo
Media ID
b67b841e48177760
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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}