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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 Jose Marie Haria.
My mother's maiden
name was marie Da bug
My maiden name was (if woman)
My post-office address is
37 Em Street
The ticket on which I came to this country was bought at Ponta (City) Delgada (Country) Portugal
line Habse Line
1st cabin
If arrival by ship: Name of steamship was
2d cabin
3d labin
3d cabin
I
arrived as (passenger, stowaway, seaman, member of crew, or otherwise):
passenger
(State whigh)
I traveled on (an immigration visa, a passport, a permit) passport
(State which)
I paid SDallas (State amount) head tax at Prita Delgada (City) agores (State or Portugal, country) on July (Day) 15 1920 (Year)
I was examined by immigration officers at
Ponta
Delgada
At that time I intended to remain in
(permanently, temporarily, for visit, transit) (State which)
The
person in the United States I was coming to was joas C. (Give name in full)
Loupes
Permanently.
The place in the United was was
States I going to Storing ton Community
The
names of some of the persons or passengers I traveled with were Jose li Venancis
ADDIVIONAL FACTS TO BE GIVEN IF ALIEN CAME From OR THROUGH CANADA OR MEXICO:
Jose Barge, manue tulis
(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
GOVERNMENT PRINTING
14-8
(OVER)
(Signature of appliçant)
Page data
- Page
- 1173
- Source index
- 0
- Type
- photo
- Media ID
- 01693fab99b1a2e3
- 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\nThe\nfull\nname\nof\nthe\nperson\nshown\non my steamship ticket was Jose Marie Haria.\nMy mother's maiden\nname was marie Da bug\nMy maiden name was (if woman)\nMy post-office address is\n37 Em Street\nThe ticket on which I came to this country was bought at Ponta (City) Delgada (Country) Portugal\nline Habse Line\n1st cabin\nIf arrival by ship: Name of steamship was\n2d cabin\n3d labin\n3d cabin\nI\narrived as (passenger, stowaway, seaman, member of crew, or otherwise):\npassenger\n(State whigh)\nI traveled on (an immigration visa, a passport, a permit) passport\n(State which)\nI paid SDallas (State amount) head tax at Prita Delgada (City) agores (State or Portugal, country) on July (Day) 15 1920 (Year)\nI was examined by immigration officers at\nPonta\nDelgada\nAt that time I intended to remain in\n(permanently, temporarily, for visit, transit) (State which)\nThe\nperson in the United States I was coming to was joas C. (Give name in full)\nLoupes\nPermanently.\nThe place in the United was was\nStates I going to Storing ton Community\nThe\nnames of some of the persons or passengers I traveled with were Jose li Venancis\nADDIVIONAL FACTS TO BE GIVEN IF ALIEN CAME From OR THROUGH CANADA OR MEXICO:\nJose Barge, manue tulis\n(a) The place in Canada where I landed was\n, on\n(Month)\n(Day)\n(Year)\n{\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\nGOVERNMENT PRINTING\n14-8\n(OVER)\n(Signature of appliçant)"
}