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I have notuced this than
another name in country that given at the beginning of this form. If so, it was
I used that name because
-
The name on was
full of the person shown my steamship ticket Jacob Butberg
My mother's maiden name was
Eva Luchansky
My maidon name was (if woman)
My post-office 125 montank ave., Seen Longton Can
address is
The ticket
on which I came to this country was bought at Bremen (City) permany (Country)
If was
arrival by ship: Name of steamship line Bremen American
1st cabin
2d cabin
Co.
a
3d cabin
I as or
arrived (passenger, stowaway, seaman, member of crew, otherwise) (State which)
passings
I traveled on (an immigration visa, a passport, a permit)
passport
(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 n. y
Island,
At
that time I intended to remain (permanently, temporarily, for visit, in transit) (State which)
The was to was
person in the United States I coming Joseph Giyaname in full) father
Blue
permanently
The place in the United States I was going to was
new loan
The names of some of the persons or passengers I traveled with were
(mother)
Eva Rutturg
I was 5yro wed
ADDITIONAL FACTS TO BE GIVEN IF ALIEN CAME FROM OR THROUGH CANADA OR MEXICO:
() 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
GOVERNMENT PRINTING offica 14-8
(OVER)
Jacob (Signature Buttery of applicant)
Page data
- Page
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- Source index
- 0
- Type
- photo
- Media ID
- 6bc6b7fb32a9ec50
- 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": "I have notuced this than\nanother name in country that given at the beginning of this form. If so, it was\nI used that name because\n-\nThe name on was\nfull of the person shown my steamship ticket Jacob Butberg\nMy mother's maiden name was\nEva Luchansky\nMy maidon name was (if woman)\nMy post-office 125 montank ave., Seen Longton Can\naddress is\nThe ticket\non which I came to this country was bought at Bremen (City) permany (Country)\nIf was\narrival by ship: Name of steamship line Bremen American\n1st cabin\n2d cabin\nCo.\na\n3d cabin\nI as or\narrived (passenger, stowaway, seaman, member of crew, otherwise) (State which)\npassings\nI traveled on (an immigration visa, a passport, a permit)\npassport\n(State which)\nI paid no head tax at\n, on\n(State amount)\n(City)\n(State or country)\n(Month)\n(Day)\n(Year)\nI was examined by immigration officers at\nEllis n. y\nIsland,\nAt\nthat time I intended to remain (permanently, temporarily, for visit, in transit) (State which)\nThe was to was\nperson in the United States I coming Joseph Giyaname in full) father\nBlue\npermanently\nThe place in the United States I was going to was\nnew loan\nThe names of some of the persons or passengers I traveled with were\n(mother)\nEva Rutturg\nI was 5yro wed\nADDITIONAL FACTS TO BE GIVEN IF ALIEN CAME FROM OR THROUGH CANADA OR MEXICO:\n() The place in Canada where I landed was\non\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\nGOVERNMENT PRINTING offica 14-8\n(OVER)\nJacob (Signature Buttery of applicant)"
}