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I have not 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 Terence ballaghu My mother's maiden name was alice ballagher My maiden name was (if woman) / My post-office address is 5 walmut St. Paucatuk , Connecticut The ticket on which I came to this country was bought at Wisterly, (City) R, 9 (Country) USA | 1st cabin If arrival by ship: Name of steamship line was White star 2d cabin 3dcabin 3d cabin I arrived as (passenger, stowaway, seaman, member of crew, or otherwise) Passenger (State which) I traveled (an immigration visa, passport, permit) immugration visa on a a (State which) I paid head tax at , on (State amount) (City) (State or country) (Month) (Day) (Year) I was examined by immigration officers at Ellis Island, new ynk At that time I intended to remain for in (permanently, temporarily, visit, transit) (State which) fermanently The person in the United States I was coming to was Budget (Give namein Kelly full) The place in the United States I was going to was w testurly Rhode Island 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 Leuence Gallaghae GOVERNMENT PIMINTING OFFICE 14- (OVER) (Signature of applicant)

Page data

Page
1148
Source index
0
Type
photo
Media ID
3994e9a99c0f1074
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 not used another name in this country than that given at the beginning of this form. If so, it was\nI used that name because\n-\nThe full name of the person shown on my steamship ticket was Terence ballaghu\nMy mother's maiden name was alice ballagher\nMy maiden name was (if woman)\n/\nMy post-office address is 5 walmut St. Paucatuk , Connecticut\nThe ticket on which I came to this country was bought at Wisterly, (City) R, 9 (Country)\nUSA\n|\n1st cabin\nIf arrival by ship: Name of steamship line was White star\n2d cabin\n3dcabin\n3d cabin\nI arrived as (passenger, stowaway, seaman, member of crew, or otherwise)\nPassenger\n(State which)\nI traveled (an immigration visa, passport, permit) immugration visa\non a a\n(State which)\nI paid\nhead 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 Ellis Island, new ynk\nAt that time I intended to remain for in\n(permanently, temporarily, visit, transit) (State which)\nfermanently\nThe person in the United States I was coming to was Budget (Give namein\nKelly\nfull)\nThe place in the United States I was going to was w testurly Rhode Island\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(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\nLeuence Gallaghae\nGOVERNMENT PIMINTING OFFICE\n14-\n(OVER)\n(Signature of applicant)"
}