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I have No 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 Valent Lidale My mother's maiden name was Alzbeta Incha My maiden name was (if woman) My post-office address is norwich Conn. The on came to was at ticket which I this country bought Pragne (City) Cechorolatic (Country) If arrival by ship: Name of steamship line was Cunard Line 1st cabin 2d cabin 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) hassport (State which) I paid 10 dollars. head tax at Prague (City) Clechosloration (State country) on Oktober (Month) (Day) 5 1922 (State amount) or (Year) I was examined by immigration officers at in Thin maurentania At that time to I intended remain (permanently, temporarily, for visit, in transit) (State which) permanently The person in the United States I was coming to was Macy Lidak (Give name in full) The place in the United States I was going to was Hudson Heights. new yersey. 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 - Valents Lidale PRENTING OFFICE 14-8 (OVER) (Signature of applicant)

Page data

Page
711
Source index
0
Type
photo
Media ID
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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 extras
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Page context
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    "ocrText": "I have No used another name in this country than that given at the beginning of this form. If so, it was\n-\n-\nI used that name because\nThe full name of the person shown on my steamship ticket was\nValent Lidale\nMy mother's maiden name was\nAlzbeta Incha\nMy maiden name was (if woman)\nMy post-office address is\nnorwich Conn.\nThe on came to was at\nticket which I this country bought Pragne (City) Cechorolatic\n(Country)\nIf arrival by ship: Name of steamship line was\nCunard Line\n1st cabin\n2d cabin\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)\nhassport\n(State which)\nI paid 10 dollars.\nhead tax at\nPrague (City) Clechosloration (State country) on Oktober (Month) (Day)\n5\n1922\n(State amount)\nor\n(Year)\nI was examined by immigration officers at in Thin\nmaurentania\nAt that time to\nI intended remain (permanently, temporarily, for visit, in transit) (State which)\npermanently\nThe person in the United States I was coming to was\nMacy Lidak (Give name in\nfull)\nThe place in the United States I was going to was\nHudson Heights. new yersey.\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-\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-\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\n-\nValents Lidale\nPRENTING OFFICE 14-8\n(OVER)\n(Signature of applicant)"
}