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1st cabin
If by ship: Name of steamship line was
2d cabitt
3,
3d cabin
I as or
arrived (passenger, stowaway, seaman, member of crew, otherwise) (State which
I traveled on (an immigration visa, a passport, a permit) permit (State
passenger
400 head tax at with ticket
which)
I paid
, on
I
was examined (State amount) by immigration officers at (City) new York (State or country) city
(Month)
(Day)
(Year)
At that time I to
The person in the United States I was coming to was michael Chwal
intended remain (permanently, temporarily, for yisit, in transit) (State which)
permanently
The in the United States I was to was Cleveland- (Give name in Ohi'o full)
place going
The names of some of the persons or passengers I traveled with were
miccyslaw Chwal.
My last place of foreign residence
paid was Poland
Brzostek,
(City or town)
(Country)
wife
She
Hawsie, I am yes married. Poland The name of my
is marya
was born at
husband
, and now
resides at 88 Otro bandobrad He-
I subject of and intend allegiance to Rep. Write of title Poland- of sovereign and country of which
am now a to renounce
name/and now a subject;
or, if citizen of
I arrived at
a the Republic, United write name States of Republic Immigration only) port of new about york (City or town) City
new (State or territory)
York
, on
28th
August
(Give exact month, day, and 189/9/3 year)
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 como to the United States was
Stanislow Sienkieuring
PRINTING OFFICN
e14-8
(Signature of applicant)
(OVER)
Page data
- Page
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- Source index
- 0
- Type
- photo
- Media ID
- 8dc29af2a8796d65
- 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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"ocrText": "1st cabin\nIf by ship: Name of steamship line was\n2d cabitt\n3,\n3d cabin\nI as or\narrived (passenger, stowaway, seaman, member of crew, otherwise) (State which\nI traveled on (an immigration visa, a passport, a permit) permit (State\npassenger\n400 head tax at with ticket\nwhich)\nI paid\n, on\nI\nwas examined (State amount) by immigration officers at (City) new York (State or country) city\n(Month)\n(Day)\n(Year)\nAt that time I to\nThe person in the United States I was coming to was michael Chwal\nintended remain (permanently, temporarily, for yisit, in transit) (State which)\npermanently\nThe in the United States I was to was Cleveland- (Give name in Ohi'o full)\nplace going\nThe names of some of the persons or passengers I traveled with were\nmiccyslaw Chwal.\nMy last place of foreign residence\npaid was Poland\nBrzostek,\n(City or town)\n(Country)\nwife\nShe\nHawsie, I am yes married. Poland The name of my\nis marya\nwas born at\nhusband\n, and now\nresides at 88 Otro bandobrad He-\nI subject of and intend allegiance to Rep. Write of title Poland- of sovereign and country of which\nam now a to renounce\nname/and now a subject;\nor, if citizen of\nI arrived at\na the Republic, United write name States of Republic Immigration only) port of new about york (City or town) City\nnew (State or territory)\nYork\n, on\n28th\nAugust\n(Give exact month, day, and 189/9/3 year)\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\n}\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 como to the United States was\nStanislow Sienkieuring\nPRINTING OFFICN\ne14-8\n(Signature of applicant)\n(OVER)"
}