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2761 91 dis I have / used another name in this country than that given at the beginning of this form. If so, it was I used that name because The name on was full of the person shown my steamship ticket mixatos Tapos My mother's maiden was Ellenge name My maiden name was (if woman) My post-office address is The ticket on which I came to this country was bought at Patras Greece (City) (Country) Greek Line 1st cabin If arrival by ship: Name of steamship line was 2d cabin 3rd 3d cabin I arrived (passenger, stowaway, seaman, member of crew, otherwise) (State which) as or passenger 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 Bland my At that to time I intended remain (permanently, temporarily, for visit, in transit) (State which) Christor permanently The person in the United States I was coming to was Brother (Give name in full) The place in the United States I was going to was Holyoki mass The names of some of the persons or passengers I traveled with were 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 Myjing Dayor OVERNMENT PRENTING OFFICE 14-8 (OVER) Michael (Signature Lagos of applicant)

Page data

Page
505
Source index
0
Type
photo
Media ID
3313d20dc281945b
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": "2761 91 dis\nI have\n/\nused another name in this country than that given at the beginning of this form. If so, it was\nI used that name because\nThe name on was\nfull of the person shown my steamship ticket mixatos Tapos\nMy mother's maiden was Ellenge\nname\nMy maiden name was (if woman)\nMy post-office address is\nThe ticket on which I came to this country was bought at\nPatras\nGreece\n(City)\n(Country)\nGreek Line\n1st cabin\nIf arrival by ship: Name of steamship line was\n2d cabin\n3rd\n3d cabin\nI arrived (passenger, stowaway, seaman, member of crew, otherwise) (State which)\nas or\npassenger\nI traveled 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 Bland my\nAt that to\ntime I intended remain (permanently, temporarily, for visit, in transit) (State which)\nChristor\npermanently\nThe person in the United States I was coming to was\nBrother\n(Give name in full)\nThe place in the United States I was going to was\nHolyoki mass\nThe names of some of the persons or passengers I traveled with were\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(f) The place in\nMexico\n}\nwhere I bought my railroad ticket to come to the United States was\nMyjing Dayor\nOVERNMENT PRENTING OFFICE 14-8\n(OVER)\nMichael (Signature Lagos of applicant)"
}