Application form

1 image

Held by: Montreal Holocaust Museum via Canadian Jewish Heritage Network (incl. Alex Dworkin Canadian Jewish Archives)
Dates: May 02, 1939 (indexed as 1939)
Level: item
Scope & content: Form with two holes punched in it, details filled-in by hand. Application form for emigration to the USA for Avrum Rubner and his brother Chaija were immigrating to the USA. Narrative: Avrum Rubner (Awrum Rabner) was born to Moishe and Eidly Rubner in Dobromyl, Poland on 22 December 1913. He had a brother named Chaija, and completed his apprenticeship at the Rudolph Karstadt company in the garment department as a salesman in March 1933. Afterwards he worked as a salesman. Refugee camp 42. By February 1959 he was living in Montreal and applying for a Canadian pension.
In the picture: Certificate City Hall Document Government Government Building Handwritten Letterhead Seal Signature Stamp Taxation TypewrittenTagged automatically by a vision model; may contain mistakes.
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Extent: Application form : paper : Typed : ink : Beige, black, purple ; Ht: 20,5 cm x W: 15 cm
Genre / form: textual record
Format: Document
Text in the image: Ablegewort: OberbürgermeisterDer Oberbürgermeister der Stadt DortmundVerwaltungsgebäude: Olpe 1Fernr.-Sammelnummer 20111Zimmer Nr. 306Nebenanschluß Nr. 2332Betr.: Steuerliche UnbedenklichkeitsbescheinigungStadtinspektor.Stadt DortmundMein Zeichen- 22 -Tag2.5.39ist wegen Erteilung einer Unbedenklichkeitsbescheinigung zwecks Ausreise nach Amerika vorstellig geworden.Die angestellten Ermittlungen haben ergeben, daß Rückstände an gemeindlichen Steuern usw. nicht vorhanden sind. Gegen Erteilung der Ausreisegenehmigung bestehen daher diesseits keine Bedenken.Read automatically; may contain mistakes.
Language: German
Harvested: 2026-10-19T03:21:16Z · source datestamp n/a · andornot

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