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Employed
I 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
The full name of the person shown on my steamship ticket was giovanna Formigles
My mother's maiden name was
anna mediandens
My maiden name was (if woman) grovanna Farmegles
My post-office address is 59" Baker ave, qroton Conn
The ticket which I to this country bought at Maples, (City) cetaly (Country)
on came was
arrival by ship: Name of steamship line was Providena (Tabra
1st cabin
If
2d cabin
3dcabin
five
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 8900 head tax at Maples (City) 7
(State amount)
Etaly
on Sept / 1920
,
(State or country)
(Month)
(Day)
(Year)
I was examined officers at Ellis
by immigration Island, m.y City
At that time I intended to remain (permanently, temporarily, for visit, in transit)
permismently
(State which)
The person in the United States I was coming to was Michalt (Give in full)
name
The place in the United States I was to was Morwich Comm
going
The of of Frank De Paolo
names some 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
Mexico
from which I entered the United States was
(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
DOVERNOMENT PRENTING OFFICE 14-8
(OVER)
(Signature of applicant)
Page data
- Page
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- Source index
- 0
- Type
- photo
- Media ID
- 7c92cf929a642612
- 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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"ocrText": "not yours\nEmployed\nI have\nused 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 giovanna Formigles\nMy mother's maiden name was\nanna mediandens\nMy maiden name was (if woman) grovanna Farmegles\nMy post-office address is 59\" Baker ave, qroton Conn\nThe ticket which I to this country bought at Maples, (City) cetaly (Country)\non came was\narrival by ship: Name of steamship line was Providena (Tabra\n1st cabin\nIf\n2d cabin\n3dcabin\nfive\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 8900 head tax at Maples (City) 7\n(State amount)\nEtaly\non Sept / 1920\n,\n(State or country)\n(Month)\n(Day)\n(Year)\nI was examined officers at Ellis\nby immigration Island, m.y City\nAt that time I intended to remain (permanently, temporarily, for visit, in transit)\npermismently\n(State which)\nThe person in the United States I was coming to was Michalt (Give in full)\nname\nThe place in the United States I was to was Morwich Comm\ngoing\nThe of of Frank De Paolo\nnames some the persons or passengers I traveled with were\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\nMexico\nfrom which I entered the United States was\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\nDOVERNOMENT PRENTING OFFICE 14-8\n(OVER)\n(Signature of applicant)"
}