Hebrew Immigrant Aid Society, Boston, Massachusetts |
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Form A-2213—Boston APPLICATION FOR A CERTIFICATE OF ARRIVAL No.. and PRELIMINARY FORM FOR A DECLARATION OF INTENTION U. S. DEPARTMENT OF LABOR NATURALIZATION SERVICE Report on Standard Form 1046 List No For use in searching records of arrival: RECORDS EXAMINED RECORD FOUND Card index Place Index books Name Manifests Date Manner Use Form 161 in issuing certificate of arrival on this application. (Signature of person making search) TO THE APPLICANT: Do not write above this line. Read carefully and follow the instructions on last page hereof Take or mail this to Date , 19 DISTRICT DIRECTOR OF NATURALIZATION, June 21 Young's Hotel, Boston, Mass. certificate of arrival snowing my lawful entry for permanent residence in the United States of America, to be used in filing my declaration of intention in the _ Court at and herein submit a statement of facts to be used as a basis for such declaration. (City or town) There are inclosed with this application, as required by law and the instructions herein, my original Immigrant Identification Card No. (see Statement No. 10), two photographs of me each of which I have signed, and postal money order the sum of $5, made payable to the order of the "Commissioner of Naturalization, Washington, D. C," in payment for the certificate of my arrival. I arrived in the United States at under the name of on the vessel (If otherwise than by vessel, show manner of arrival) I have been absent from the United States since that date, as follows May 5th 1907 left on Additional facts to aid in locating a record of my arrival: 1. I have used another name in this country. (If so) It was I used that name because 2. The full name of the person shown on my steamship ticket was 3. I was born in 4. My mother's maiden name was 5. (If a married woman) My maiden name was 6. My last foreign residence was (Country) The place where I took the ship or train which landed me in the United States was (7. The ticket on which I came to this country was bought at (Country) 8. (If arrival by ship) Name of steamship line was first, second, or third cabin I arrived as a passenger, stowaway, seaman, member of crew, or otherwise 14—2622 (StatTwhich, giving particulars) [OVER]
Object Description
Collection Name | Hebrew Immigrant Aid Society, Boston, Massachusetts |
Collection Number | I-96 |
Dates | 1932 |
Box Number | 95 |
Folder Number | 49 |
Subjects |
Immigration World War I World War II Displaced persons Social services Holocaust Anti-semitism |
Name | Russia |
Access | Request Access |
Rights | User has an obligation to determine copyright or other use restrictions prior to publication or distribution. Please contact the archives at reference@ajhsboston.org or 617-226-1245 for more information. |
Language | English |
Source | American Jewish Historical Society-New England Archives, New England Historic Genealogical Society |
Description
Collection Name | Hebrew Immigrant Aid Society, Boston, Massachusetts |
Collection Number | I-96 |
Dates | 1932 |
Box Number | 95 |
Folder Number | 49 |
Subjects |
Immigration World War I World War II Displaced persons Social services Holocaust Anti-semitism |
Description | Individual Case Files; Mednick, Echiel |
Name | Mednick, Echiel |
Country of Origin | Russia |
Access | Request Access |
Rights | User has an obligation to determine copyright or other use restrictions prior to publication or distribution. Please contact the archives at reference@ajhsboston.org or 617-226-1245 for more information. |
Language | English |
Transcript | Form A-2213—Boston APPLICATION FOR A CERTIFICATE OF ARRIVAL No.. and PRELIMINARY FORM FOR A DECLARATION OF INTENTION U. S. DEPARTMENT OF LABOR NATURALIZATION SERVICE Report on Standard Form 1046 List No For use in searching records of arrival: RECORDS EXAMINED RECORD FOUND Card index Place Index books Name Manifests Date Manner Use Form 161 in issuing certificate of arrival on this application. (Signature of person making search) TO THE APPLICANT: Do not write above this line. Read carefully and follow the instructions on last page hereof Take or mail this to Date , 19 DISTRICT DIRECTOR OF NATURALIZATION, June 21 Young's Hotel, Boston, Mass. certificate of arrival snowing my lawful entry for permanent residence in the United States of America, to be used in filing my declaration of intention in the _ Court at and herein submit a statement of facts to be used as a basis for such declaration. (City or town) There are inclosed with this application, as required by law and the instructions herein, my original Immigrant Identification Card No. (see Statement No. 10), two photographs of me each of which I have signed, and postal money order the sum of $5, made payable to the order of the "Commissioner of Naturalization, Washington, D. C," in payment for the certificate of my arrival. I arrived in the United States at under the name of on the vessel (If otherwise than by vessel, show manner of arrival) I have been absent from the United States since that date, as follows May 5th 1907 left on Additional facts to aid in locating a record of my arrival: 1. I have used another name in this country. (If so) It was I used that name because 2. The full name of the person shown on my steamship ticket was 3. I was born in 4. My mother's maiden name was 5. (If a married woman) My maiden name was 6. My last foreign residence was (Country) The place where I took the ship or train which landed me in the United States was (7. The ticket on which I came to this country was bought at (Country) 8. (If arrival by ship) Name of steamship line was first, second, or third cabin I arrived as a passenger, stowaway, seaman, member of crew, or otherwise 14—2622 (StatTwhich, giving particulars) [OVER] |
Source | American Jewish Historical Society-New England Archives, New England Historic Genealogical Society |
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