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I have used another name in this country than that given at the beginning of this form. If so, it was Benjamin Alexander Because my brother I used that name because - used it in business in which / was employed. The full name of the person shown on my steamship ticket was Benjlomin A bramchy K My mother's maiden name was Layky Alexandrowitch My maiden name was (if woman) - My post-office address is 136 Broad Street Norwich, Conn. The ticket on which I came to this country was bought at Newitating (City) u.s. A (Country) 1st cabin If arrival by ship: Name of steamship line was Hamburg -American -2d cabim 3d cabin I arrived as (passenger, stowaway, seaman, member of crew, or otherwise) passenger (State wb.ch) I traveled on (an immigration visa, a passport, a permit) permit (State which) I paid NO head tax at on (State amount) (City) (State or country) (Month) (Day) (Year) I was examined by immigration officers at Ellis Island New York At that time I intended to remain (permanently, temporarily, for visit, in transit) permanently (State which) The person in the United States I was coming to was Rubin Alexander (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 DonT remember any 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 GOVEENMENT PIMINTING OFFICE 14-8 (OVER) (Signature of applicant)

Page data

Page
1066
Source index
0
Type
photo
Media ID
99c5d21a13713628
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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    "contentType": "document",
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Document source extras
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Page context
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    "ocrText": "I have\nused another name in this country than that given at the beginning of this form. If so, it was\nBenjamin Alexander\nBecause my brother\nI used that name because -\nused it in business\nin which / was employed.\nThe full name of the person shown on my steamship ticket was\nBenjlomin A bramchy K\nMy mother's maiden name was\nLayky Alexandrowitch\nMy maiden name was (if woman)\n-\nMy post-office address is\n136 Broad Street Norwich, Conn.\nThe ticket on which I came to this country was bought at Newitating (City)\nu.s. A\n(Country)\n1st cabin\nIf arrival by ship: Name of steamship line was\nHamburg -American\n-2d cabim\n3d cabin\nI arrived as (passenger, stowaway, seaman, member of crew, or otherwise)\npassenger\n(State wb.ch)\nI traveled on (an immigration visa, a passport, a permit)\npermit\n(State which)\nI paid\nNO\nhead tax at\non\n(State amount)\n(City)\n(State or country)\n(Month)\n(Day)\n(Year)\nI was examined by immigration officers at\nEllis Island New York\nAt that time I intended to remain (permanently, temporarily, for visit, in transit)\npermanently\n(State which)\nThe person in the United States I was coming to was\nRubin Alexander\n(Give name in full)\nThe place in the United States I was going to was\nNorwich, Conn.\nThe names of some of the persons or passengers I traveled with were\nDonT remember any\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)\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\nGOVEENMENT PIMINTING OFFICE\n14-8\n(OVER)\n(Signature of applicant)"
}