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I not have used another name in this country than that given at the beginning of this form. If so, it was I used that name because My mother's maiden name was Frances Bankowiska The full name of the person shown on my steamship ticket was Fehiks Jasinsky My maiden name was (if woman) My post-office address is 221 So, Thance Sw norrich Cours The ticket on which I came to this country was bought at Schnitzer, (City) (Country) City my by ship: Name of steamship line Hamburg America 1st cabin If arrival was 2d cabilf 3rd 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) (State which) permit I paid 100 head tax at new (City) York City (State ,on March 24, 1906 (State amount) or country) (Month) (Day) (Year) I at was examined by immigration officers New York City At The person in the United States I was coming to was John (Give name in full) that time I intended to remain (permanently, temporarily, for visit, in transit) (State which) Biokossti permanently The place in the was going United States I to was norwich Conu The names of some of the persons or passengers I traveled with were Joseph Skreeronokin 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 OVERNMENT PRENTING OFFICE 14-8 (OVER) Theryers (Signature of applicant) jasinary

Page data

Page
838
Source index
0
Type
photo
Media ID
f56f3f78fb31f582
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 not\nhave used another name in this country than that given at the beginning of this form. If so, it was\nI used that name because\nMy mother's maiden name was Frances Bankowiska\nThe full name of the person shown on my steamship ticket was Fehiks Jasinsky\nMy maiden name was (if woman)\nMy post-office address is 221 So, Thance Sw norrich Cours\nThe ticket on which I came to this country was bought at Schnitzer, (City) (Country) City my\nby ship: Name of steamship line Hamburg America\n1st cabin\nIf arrival was\n2d cabilf\n3rd\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) (State which)\npermit\nI paid\n100\nhead tax at new (City) York City (State\n,on March 24, 1906\n(State amount)\nor country)\n(Month)\n(Day)\n(Year)\nI at\nwas examined by immigration officers New York City\nAt\nThe person in the United States I was coming to was John (Give name in full)\nthat time I intended to remain (permanently, temporarily, for visit, in transit) (State which)\nBiokossti\npermanently\nThe place in the was going\nUnited States I to was norwich Conu\nThe names of some of the persons or passengers I traveled with were Joseph Skreeronokin\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)\n(b) The place in\n{\nCanada\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\nOVERNMENT PRENTING OFFICE 14-8\n(OVER)\nTheryers (Signature of applicant)\njasinary"
}