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I have never 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 miss Gerrina Deick Roble
My mother's maiden name was
gane Deick.
My maiden name was
(if woman) Georgina Deick Robb
My post-office address is 80 Allen l treet groton Connecticut
The ticket on which I came to this country was bought at
new London lenn
(City)
(Country)
If arrival by ship: Name of steamship line was ancher Line
let cabin
2d cabin
3d cabin
}
2nd Carbin
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)
paid $2.
head tax at new Lindon Connecticut Ahirl 1st 1925
(State amount)
(City)
(State or country)
(Month)
(Day)
(Year)
I
was
examined
by immigration officers at Glasgow Scotland and new york U.S.A.
At that time I intended to remain for in transit)
(permanently, temporarily, visit, (State which)
firmanently
The person in the United was was
States I coming to Alexander (Give name Traset. in full) freig
The place in the United States I was going to was gooton
bonnecticut
The names of some of the persons or passengers I traveled with were John Sefteen Jonnet b Silvie
ma In Imdie, mis mi Joseph Rogers. meg In f Wigley
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)
I
(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
1
Canada
(f) The place in
Mexico
where I bought my railroad ticket to come to the United States was
GOVERNMENT PRINTING OFFICE 14-8
(OVER)
Georgina Deick (Signature of applicant) Roble Grig
Page data
- Page
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- Source index
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- Type
- photo
- Media ID
- b9309303ab1df46e
- Size
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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 never 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 ticket was miss Gerrina Deick Roble\nMy mother's maiden name was\ngane Deick.\nMy maiden name was\n(if woman) Georgina Deick Robb\nMy post-office address is 80 Allen l treet groton Connecticut\nThe ticket on which I came to this country was bought at\nnew London lenn\n(City)\n(Country)\nIf arrival by ship: Name of steamship line was ancher Line\nlet cabin\n2d cabin\n3d cabin\n}\n2nd Carbin\nI\narrived 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)\npaid $2.\nhead tax at new Lindon Connecticut Ahirl 1st 1925\n(State amount)\n(City)\n(State or country)\n(Month)\n(Day)\n(Year)\nI\nwas\nexamined\nby immigration officers at Glasgow Scotland and new york U.S.A.\nAt that time I intended to remain for in transit)\n(permanently, temporarily, visit, (State which)\nfirmanently\nThe person in the United was was\nStates I coming to Alexander (Give name Traset. in full) freig\nThe place in the United States I was going to was gooton\nbonnecticut\nThe names of some of the persons or passengers I traveled with were John Sefteen Jonnet b Silvie\nma In Imdie, mis mi Joseph Rogers. meg In f Wigley\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)\nI\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\n1\nCanada\n(f) The place in\nMexico\nwhere I bought my railroad ticket to come to the United States was\nGOVERNMENT PRINTING OFFICE 14-8\n(OVER)\nGeorgina Deick (Signature of applicant) Roble Grig"
}