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LIST OR MANIFEST OF ALIEN PASSENGERS FOR THE UNITED STATES IMMIGRATION OFFICER AT PORT OF ARRIVAL

Required by the regulations of the Secretary of Commerce and Labor of the United States, under act of Congress approved February 20, 1907 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. Kaiser Wilhelm II sailing from Bremen, December 9, 1913

 
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.
24 Tachna Reisel 18 - female single seamstress

 

7. 8. 9. 10. 11.
Able to Nationality Race or People Last Permanent Residence Name and complete address of nearest relative or friend in country whence alien came.
Read Write Country City or Town
yes yes Russia Hebrew Russia Mlawa
father:  Szaje Tachna
Mlawa, Poland
 
12. 13. 14. 15. 16.
Final Destination No. on List Whether having ticket to final destination By whom was passage paid Whether in possession of $50, and if less how much.
State City or Town
Massachusetts Boston 24 yes brother $23
 
17. 18.
Whether ever before in the United States; and if so, whom and where? Whether going to join a relative or friend, and his name and complete address.
Yes or No. If Yes -
Year or period of years Where?
no - -
brother:  Joseph Tachna
28 Anderson Dr. Boston, Massachusetts
 
19. 20. 21. 22. 23. 24.
Ever been incarcerated? Whether a Polygamist. Whether an Anarchist. Condition of Health, Mental and Physical. Deformed or Crippled.  Nature, length of time, and cause. Whether arriving for reason of employment or solicitation?
no no no good no no
 
25. 26. 27. 28. 29.
Height Complexion Color of - Marks of Identification Place of Birth
Feet Inches Hair Eyes Country City or Town
5 1 fair dark blue none Russia Mlawa