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If by ship Name of steamship line was 2d 1st cabin cabin 3d cabin I arrived as (passenger, stowaway, seaman, member of crew, or otherwise) (State which) I traveled on (an immigration visa, a passport, a permit) (State which) I paid head tax at , on (State amount) (City) (State or country) (Month) (Day) (Year) I was examined by immigration officers at At that time I intended to remain (permanently temporarily, for visit, in transit) (State which) The person in the United States I was coming to was (Give name in full) The place in the United States I was going to was The names of some of the persons or passengers I traveled with were My last place of foreign residence was Chester England (City or town) (Country) a I am married. The name of my is Hendrik Verkade was born at husband He Leiden. Holland and now resides at New London. Conn, said I am now a subject of and intend to renounce allegiance to Queen Wilhelmina, of Holland queen 98 4ardner Avenue (Write name and title of sovereign and country of which now a subject; or, of if citizen the of Republic, Metherlands write of Republic only) a name I arrived at the United States Immigration port of New York. (City or town) N Y. , on August 7th. 1916. (State or territory) (Give exact month, day, and year) ADDITIONAL FACTS TO BE GIVEN IF ALIEN CAME From OR THROUGH CANADA OR MEXICO: (a) The 1 lace 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 (le) 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 this Haa Verkade e14-8 (Signature of applicant) (OVER)

Page data

Page
242
Source index
0
Type
photo
Media ID
71f5f384be78bfd0
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": "If by ship Name of steamship line was\n2d 1st cabin cabin\n3d cabin\nI arrived as (passenger, stowaway, seaman, member of crew, or otherwise)\n(State which)\nI traveled on (an immigration visa, a passport, a permit)\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\nAt that time I intended to remain (permanently temporarily, for visit, in transit)\n(State which)\nThe person in the United States I was coming to was\n(Give name in full)\nThe place in the United States I was going to was\nThe names of some of the persons or passengers I traveled with were\nMy last place of foreign residence was\nChester\nEngland\n(City or town)\n(Country)\na\nI am\nmarried. The name of my\nis\nHendrik Verkade\nwas born at\nhusband\nHe\nLeiden. Holland\nand now resides at\nNew London. Conn, said\nI am now a subject of and intend to renounce allegiance to Queen Wilhelmina, of Holland queen\n98 4ardner Avenue\n(Write name and title of sovereign and country of which now a subject;\nor, of if citizen the of Republic, Metherlands write of Republic only)\na name\nI arrived at the United States Immigration port of\nNew York.\n(City or town)\nN Y.\n,\non August 7th. 1916.\n(State or territory)\n(Give exact month, day, and year)\nADDITIONAL FACTS TO BE GIVEN IF ALIEN CAME From OR THROUGH CANADA OR MEXICO:\n(a) The 1 lace in Canada where I landed was\n, on\n(Month)\n(Day)\n(Year)\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(le) If not examined, state why, and give the circumstances of your entry\n{\nCanada\n(f) The place in\nMexico\nwhere I bought my railroad ticket to come to the United States was\nthis Haa Verkade\ne14-8\n(Signature of applicant)\n(OVER)"
}