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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 full name of the person shown on my steamship ticket was
My mother's maiden name was
Phisonanies Bord
My maiden name was (if woman)
My post-office address is
33 Spring It, Norwich, Com.
The on came to was
ticket which I this country bought at Sleebrash, Canada
(City)
(Country)
1st cabin
If arrival by ship: Name of steamship line was
2d 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 $8.00
head tax
(State amount)
at newort, (City) Nermout, (State country) on Sept. (Month) (Day) 10, 1924 (Year)
or
I was
examined by immigration officers at neirp ort, aemout
At
that time I intended to remain (permanently, temporarily, for visit, in transit)
permanently
(State which)
The person in the United States I was coming to was
noome
(Give name in full)
The place in the United States I was going to was Great Bannington maxx
The
names of some of the persons or passengers I traveled with were Clement Deigle,
Domato Lemy
ADDITIONAL FACTS TO BE GIVEN IF ALIEN CAME From OR THROUGH CANADA OR MEXICO:
(a) The place in Canada where I landed was
on
{
Canada
(b) The place in
Mexico
}
from
which I entered the United States was Structurely (Month) (Day) Canada (Year)
(c) On seftember (Month)
10
1124
(Day)
(Year)
(d) The place where I was examined for admission at the United States border was
Mesoport, Hermant
(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
Sherbrook Canada
GOVERNMENT PRINTING OFFICE 14-8
(OVER)
(Signature of applicant)
Daigle
Page data
- Page
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- Source index
- 0
- Type
- photo
- Media ID
- 7279bc2a8d5ab872
- 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": "I have - used 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\nMy mother's maiden name was\nPhisonanies Bord\nMy maiden name was (if woman)\nMy post-office address is\n33 Spring It, Norwich, Com.\nThe on came to was\nticket which I this country bought at Sleebrash, Canada\n(City)\n(Country)\n1st cabin\nIf arrival by ship: Name of steamship line was\n2d 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 $8.00\nhead tax\n(State amount)\nat newort, (City) Nermout, (State country) on Sept. (Month) (Day) 10, 1924 (Year)\nor\nI was\nexamined by immigration officers at neirp ort, aemout\nAt\nthat time I intended to remain (permanently, temporarily, for visit, in transit)\npermanently\n(State which)\nThe person in the United States I was coming to was\nnoome\n(Give name in full)\nThe place in the United States I was going to was Great Bannington maxx\nThe\nnames of some of the persons or passengers I traveled with were Clement Deigle,\nDomato Lemy\nADDITIONAL FACTS TO BE GIVEN IF ALIEN CAME From OR THROUGH CANADA OR MEXICO:\n(a) The place in Canada where I landed was\non\n{\nCanada\n(b) The place in\nMexico\n}\nfrom\nwhich I entered the United States was Structurely (Month) (Day) Canada (Year)\n(c) On seftember (Month)\n10\n1124\n(Day)\n(Year)\n(d) The place where I was examined for admission at the United States border was\nMesoport, Hermant\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 come to the United States was\nSherbrook Canada\nGOVERNMENT PRINTING OFFICE 14-8\n(OVER)\n(Signature of applicant)\nDaigle"
}