Ask the Scholar
Page 1215 of 1298
I can add historical knowledge about this page.
Page image
OCR
I have yes used another name this country than that given the beginning of this form.
in at If so, it was
I used that name because it was laser to
stanley Jourshiet
The full name of the person shown on my steamship ticket was stenislous Tomczak
My mother's maiden name was Hedwig Rebacrak
My maiden name was (if woman)
My post-office address is
The ticket on which I came to this country was bought at
Hanlung
(City)
(Country)
If arrival by ship: Name of steamship line was Hambary Pluercies line
1st cabin
2d cabin
3dacin
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)
permit
too top
(State which)
I paid 37,00 (State amount) head tax at Handug (City)
, on
(State or country)
(Month)
(Day)
(Year)
I examined by immigration officers at New yours
was
At
that time I intended to remain (permanently, temporarily, for visit, in transit) (State which)
Permanently
The person in the United States I was coming to was my lirfe y (Give namein full)
The was was
place in the United States I going to Central Come,
Village
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
The place in
Mexico
where I bought my railroad ticket to come to the United States was
GOVERNMENT PIMINTING OFFION 14-8
(OVER)
(Signature of applicant)
Page data
- Page
- 1215
- Source index
- 0
- Type
- photo
- Media ID
- 2a3301a67a4578d0
- Size
- unknown
Document data
- ID
- 159596813
- Core
- doc
- Type
- document
DTO data
{
"id": "159596813",
"sourceUrl": "https://catalog.archives.gov/id/159596813",
"contentType": "document",
"title": "File numbers 4874 - 5509, 1926-1930",
"citationUrl": "https://catalog.archives.gov/id/159596813",
"collections": [
"Naturalization Records of Non-Federal Courts in Connecticut",
"Applications for Declaration of Intention"
],
"iiifBase": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships-0002/18-0177_US-MA/18-0177_US-MA_21/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930_00001.jpg",
"thumbnailUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships-0002/18-0177_US-MA/18-0177_US-MA_21/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930_00001.jpg",
"largeImageUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships-0002/18-0177_US-MA/18-0177_US-MA_21/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930_00001.jpg",
"imageCount": 1298,
"hasImages": true,
"source": "import",
"hasTranscription": false
}
Context sent to Scholar
Document identity
{
"localId": "159596813",
"label": "File numbers 4874 - 5509, 1926-1930",
"core": "doc",
"dtoType": "document",
"citationUrl": "https://catalog.archives.gov/id/159596813"
}
Document source metadata
{
"id": "159596813",
"sourceUrl": "https://catalog.archives.gov/id/159596813",
"contentType": "document",
"title": "File numbers 4874 - 5509, 1926-1930",
"citationUrl": "https://catalog.archives.gov/id/159596813",
"collections": [
"Naturalization Records of Non-Federal Courts in Connecticut",
"Applications for Declaration of Intention"
],
"iiifBase": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships-0002/18-0177_US-MA/18-0177_US-MA_21/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930_00001.jpg",
"thumbnailUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships-0002/18-0177_US-MA/18-0177_US-MA_21/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930_00001.jpg",
"largeImageUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships-0002/18-0177_US-MA/18-0177_US-MA_21/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930_00001.jpg",
"imageCount": 1298,
"hasImages": true,
"source": "import",
"hasTranscription": false
}
Document source extras
{
"url": "https://catalog.archives.gov/id/159596813",
"naId": 159596813,
"levelOfDescription": "fileUnit",
"onlineResources": [
{
"description": "FamilySearch",
"note": "This file was scanned as part of a collaboration effort between FamilySearch and the National Archives.",
"url": "https://www.familysearch.org/search/catalog/results?count=20&query=%2Bkeywords%3A4526886%20%2Bkeywords%3ANational%20%2Bkeywords%3AArchives"
}
],
"recordType": "description",
"ocrSource": "nara-archive"
}
Page context
{
"seq": 1215,
"pageIndex": 0,
"type": "photo",
"url": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships-0002/18-0177_US-MA/18-0177_US-MA_21/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930_01215.jpg",
"mediaId": "2a3301a67a4578d0",
"ocrText": "I have yes used another name this country than that given the beginning of this form.\nin at If so, it was\nI used that name because it was laser to\nstanley Jourshiet\nThe full name of the person shown on my steamship ticket was stenislous Tomczak\nMy mother's maiden name was Hedwig Rebacrak\nMy maiden name was (if woman)\nMy post-office address is\nThe ticket on which I came to this country was bought at\nHanlung\n(City)\n(Country)\nIf arrival by ship: Name of steamship line was Hambary Pluercies line\n1st cabin\n2d cabin\n3dacin\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)\npermit\ntoo top\n(State which)\nI paid 37,00 (State amount) head tax at Handug (City)\n, on\n(State or country)\n(Month)\n(Day)\n(Year)\nI examined by immigration officers at New yours\nwas\nAt\nthat time I intended to remain (permanently, temporarily, for visit, in transit) (State which)\nPermanently\nThe person in the United States I was coming to was my lirfe y (Give namein full)\nThe was was\nplace in the United States I going to Central Come,\nVillage\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)\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\nThe place in\nMexico\nwhere I bought my railroad ticket to come to the United States was\nGOVERNMENT PIMINTING OFFION 14-8\n(OVER)\n(Signature of applicant)"
}