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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 Savior nicholas I used that name because easier to prononnce The full name of the person shown on my steamship ticket was Dont recall My mother's maiden name was Angelichi My maiden name was (if woman) V My post-office address is 33 Jhones st Norwich Come The ticket on which I came to this country was bought at Leskovic albania (City) (Country) line austria-American 1st cabin If arrival by ship: Name of steamship was 2d cabin 3rd 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) passport (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, ny At that time to I intended remain (permanently, temporarily, for visit, in transit) (State which) permanently The person in the United States I was coming to was Costautorio Vasilio (Give name in full) The place in the United States I was going to was Quonituch, Conver The names of some of the persons or passengers I traveled with were apostolos Ristanis 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 Savior Nicholas GOVERNMENT PRINTING OFTICE 14-8 (OVER) (Signature of applicant)

Page data

Page
1221
Source index
0
Type
photo
Media ID
1b2f42c88da9685f
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\nSavior nicholas\nI used that name because\neasier to prononnce\nThe full name of the person shown on my steamship ticket was\nDont recall\nMy mother's maiden name was\nAngelichi\nMy maiden name was (if woman)\nV\nMy post-office address is\n33 Jhones st Norwich Come\nThe ticket on which I came to this country was bought at\nLeskovic albania\n(City)\n(Country)\nline austria-American\n1st cabin\nIf arrival by ship: Name of steamship was\n2d cabin\n3rd\n3d cabin\nI arrived as (passenger, stowaway, seaman, member of crew, or otherwise)\npassenger\n(State which)\nI\ntraveled on (an immigration visa, a passport, a permit)\npassport\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\nEllis Island, ny\nAt that time to\nI intended remain (permanently, temporarily, for visit, in transit) (State which)\npermanently\nThe person in the United States I was coming to was Costautorio Vasilio\n(Give name in full)\nThe\nplace\nin\nthe United States I was going to was Quonituch, Conver\nThe names of some of the persons or passengers I traveled with were\napostolos Ristanis\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\nf The place in\nMexico\nwhere I bought my railroad ticket to come to the United States was\nSavior Nicholas\nGOVERNMENT PRINTING OFTICE\n14-8\n(OVER)\n(Signature of applicant)"
}