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Page 1221 of 1298
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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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"title": "File numbers 4874 - 5509, 1926-1930",
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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\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)"
}