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is ns III 1-19 I have another name in this country than that given at the beginning of this form. If so, it was I used that name because The full name of the person shown on my steamship ticket was Edech thogland My mother's maiden name was stanma Ollopon My maiden name was (if woman) Ediet findroth My post-office address is 49Commothericre, Comm. The ticket on which I came to this country was bought at neutander (City) (Country) If arrival by ship: Name of steamship line was Arredesh american 1st cabin 2d cabin 3d cabin I arrived as (passenger, stowaway, seaman, member of crew, or otherwise) Paranger (State which) I traveled on (an immigration visa, a passport, a permit) pasport (State which) I paid $28 (State amount) head tax at nertnol (City) Cannehelt (State or country) , on funi (Month) (Day) 5. (Year) 1924 - I was examined by immigration officers at Elli Idend however At that time I intended to remain (permanently, temporarily, for visit, in transit) permanity (State which) The person in the United States I was coming to was Broz Hogland (Give name in full) The place in the United States I was going to was hentanda Cansalient The names of some of the persons or passengers I traveled with were Elove andersow 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 The place in Mexico where I bought my railroad ticket to come to the United States was Edills (Signature of applicant) GOVERNMENT PRINTING OFFICE 14- (OVER) Kayland

Page data

Page
876
Source index
0
Type
photo
Media ID
6139ad75f8df957a
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 extras
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Page context
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    "ocrText": "is ns\nIII\n1-19\nI\nhave another name in this country than that given at the beginning of this form. If so, it was\nI used that name because\nThe full name of the person shown on my steamship ticket was Edech thogland\nMy mother's maiden name was stanma Ollopon\nMy maiden name was (if woman) Ediet findroth\nMy post-office address is 49Commothericre, Comm.\nThe ticket on which I came to this country was bought at neutander\n(City)\n(Country)\nIf arrival by ship: Name of steamship line was Arredesh american\n1st cabin\n2d cabin\n3d cabin\nI arrived as (passenger, stowaway, seaman, member of crew, or otherwise)\nParanger\n(State which)\nI traveled on (an immigration visa, a passport, a permit)\npasport\n(State which)\nI paid\n$28\n(State\namount) head tax at nertnol (City) Cannehelt (State or country) , on funi (Month) (Day) 5. (Year) 1924\n-\nI was examined by immigration officers at Elli Idend however\nAt that time\nI intended to remain (permanently, temporarily, for visit, in transit)\npermanity\n(State which)\nThe person in the United States I was coming to was Broz Hogland\n(Give name in full)\nThe place in the United States I was going to was hentanda Cansalient\nThe names of some of the persons or passengers I traveled with were Elove andersow\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\nThe place in\nMexico\nwhere I bought my railroad ticket to come to the United States was\nEdills (Signature of applicant)\nGOVERNMENT PRINTING OFFICE\n14-\n(OVER)\nKayland"
}