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LIST OR MANIFEST OF ALIEN PASSENGERS FOR THE UNITED
STATES IMMIGRATION OFFICER AT PORT OF ARRIVAL
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Required by the regulations of the Secretary of
Commerce and Labor of the United States, under act of Congress
approved March 3, 1903 to be delivered to the United States
Immigration Officer by the Commanding Officer of any vessel having
such passengers on board upon arrival at a port in the United States. |
S.S. United States sailing from
Copenhagen, September 7, 1904 |
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1. |
2. |
3. |
4. |
5. |
6. |
No. on List |
NAME IN FULL |
Age |
Sex |
Married or Single |
Calling or Occupation |
Family Name |
Given Name |
Yrs. |
Mos. |
13 |
Tachne |
- |
22 |
- |
female |
married |
hostess |
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7. |
8. |
9. |
10. |
11. |
Able to |
Nationality |
Race or People |
Last Permanent Residence |
Final Destination |
Read |
Write |
Country |
City or Town |
yes |
yes |
Russian |
Hebrew |
Russia |
Witebsk |
Pittsfield, Massachusetts |
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12. |
13. |
14. |
15. |
Whether having a ticket to such
final destination. |
By whom was passage paid? |
Whether in possession of $50, and if
less how much? |
Whether ever before in the United
States; and if so, whom and where? |
no |
brother |
$42 |
no |
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16. |
17. |
18. |
19. |
Whether going to join a
relative or friend, and his name and complete address. |
Ever in prison or
almhouse, or institution for treatment or care of the insane or
supported by charity? If so, which? |
Whether a polygamist. |
Whether an anarchist. |
- -
- New York
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no |
no |
no |
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20. |
21. |
22. |
Whether coming by reason of any
offer, solicitation, promise, or agreement expressed or implied, to
labor in the United States. |
Condition of Health, Mental and
Physical. |
Deformed or Crippled. Nature,
length of time, and cause. |
no |
healthy |
no |
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