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If by ship: N ame of steamship line was 2d 1st cabin cabin 3d cabin I arrived as (passenger, towaway, 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 said Choragycha Palaad My last place of foreign residence was (City/or town) (Country) I am yes married. The name of my { wife is agata Rantoning She was born at husband , and now resides at stick He nowa Wies Paland 8ml Pleasants normish I am now a subject of and intend to renounce allegiance to (Write Paland name and title of sovereign and the country Republic of high now a subject; or, if cifizen of a Republic, write name of Republic only) Poland I arrived at the United States Immigration port of new York (City or town) new York (State or , on June 1904 territory) (Give exact month, day, and 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 (A) The place in where I bought my railroad ticket to come to the United States was Mexico Feliks (Signature of applicant) GOVERNMENT PRENTING offica e14-8 Parkiaurez (OVER)

Page data

Page
33
Source index
0
Type
photo
Media ID
76fe9890f12c7ef8
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: N ame of steamship line was\n2d 1st cabin cabin\n3d cabin\nI arrived as (passenger, towaway, 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\nsaid\nChoragycha\nPalaad\nMy last place of foreign residence was (City/or town)\n(Country)\nI am yes married. The name of my\n{\nwife\nis agata Rantoning\nShe\nwas born at\nhusband\n, and now resides at\nstick\nHe\nnowa Wies Paland\n8ml Pleasants normish\nI am now a subject of and intend to renounce allegiance to\n(Write\nPaland name and title of sovereign and the country Republic of high now a subject;\nor, if cifizen of a Republic, write name of Republic only)\nPoland\nI arrived at the United States Immigration port of\nnew York (City\nor town)\nnew York (State or\n, on\nJune 1904\nterritory)\n(Give exact month, day, and 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)\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\n(A) The place in\nwhere I bought my railroad ticket to come to the United States was\nMexico\nFeliks (Signature of applicant)\nGOVERNMENT PRENTING offica\ne14-8\nParkiaurez\n(OVER)"
}