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91 rups
1st cabin
3
If by ship: Name of steamship line was Red star Line
2d cabin
3d cabin
I arrived as (passenger, stowaway, seaman, member of crew, or otherwise)
passenger
(State which)
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)
Antwerp, Belgium
I was examined by immigration officers at
permanently
At that time I intended to remain (permanently, temporarily, for visit, in transit)
(State which)
The person in the United States I was coming to was Nikodem Zdancewicz
(Give name in full)
The place in the United States I was going to was Norwich, Conn.
The names of some of the persons or passengers I traveled with were
said
yrzywulka Polond
My last place of foreign residence was
A
(City or
Ijam yes married. The name of my
{
is pranopolea Frances town)
(Country)
wife
She
was born at
Kusband
Trywulka, Poland
said
He
, and now resides at
110 Summit str, Norwioh,
conn
Poland
I am now a subject of and intend to renounce allegiance to
(Write name and title of sovereign and country of which now a subject;
or, if citizen of a Republic, write name of Republic only)
I arrived at the United States Immigration port of
New York
3 (City or town)
June 1914
, on
(State or territory)
(Give exact month, day, and year)
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
(A) The place in
Mexico
where I bought my railroad ticket to come to the United States was
Belertow
GOVERNKENT PRENTING OFFICE
e14-8
(Signature of applicant)
(OVER)
Page data
- Page
- 292
- Source index
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- Type
- photo
- Media ID
- 73d2804d944a5c9e
- Size
- unknown
Document data
- ID
- 159596813
- Core
- doc
- Type
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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": "91 rups\n1st cabin\n3\nIf by ship: Name of steamship line was Red star Line\n2d cabin\n3d cabin\nI arrived as (passenger, stowaway, seaman, member of crew, or otherwise)\npassenger\n(State which)\nI traveled on (an immigration visa, a passport, a permit)\npassport\n(State which)\nI paid\nhead tax at\n, on\n(State amount)\n(City)\n(State or country)\n(Month)\n(Day)\n(Year)\nAntwerp, Belgium\nI was examined by immigration officers at\npermanently\nAt that time I intended to remain (permanently, temporarily, for visit, in transit)\n(State which)\nThe person in the United States I was coming to was Nikodem Zdancewicz\n(Give name in full)\nThe place in the United States I was going to was Norwich, Conn.\nThe names of some of the persons or passengers I traveled with were\nsaid\nyrzywulka Polond\nMy last place of foreign residence was\nA\n(City or\nIjam yes married. The name of my\n{\nis pranopolea Frances town)\n(Country)\nwife\nShe\nwas born at\nKusband\nTrywulka, Poland\nsaid\nHe\n, and now resides at\n110 Summit str, Norwioh,\nconn\nPoland\nI am now a subject of and intend to renounce allegiance to\n(Write name and title of sovereign and country of which now a subject;\nor, if citizen of a Republic, write name of Republic only)\nI arrived at the United States Immigration port of\nNew York\n3 (City or town)\nJune 1914\n, on\n(State or territory)\n(Give exact month, day, and year)\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\n}\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(A) The place in\nMexico\nwhere I bought my railroad ticket to come to the United States was\nBelertow\nGOVERNKENT PRENTING OFFICE\ne14-8\n(Signature of applicant)\n(OVER)"
}