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LIST OR MANIFEST OF ALIEN PASSENGERS FOR THE UNITED
STATES IMMIGRATION OFFICER AT PORT OF ARRIVAL
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All aliens arriving at port of continental United
States from a foreign port or port of insular possessions of the
United States, and all aliens arriving at said port of insular
possessions from a foreign port, a port of continental United States,
or port of another insular possession, in what so ever class they
travel, MUST be fully listed and the master or commander of each
vessel carrying such passengers must upon arrival deliver lists
thereof to the immigration officer.
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This (yellow) sheet is for the listing of SECOND
CABIN PASSENGERS ONLY. |
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S.S.
NIEUW AMSTERDAM Passengers sailing from,
ROTTERDAM, JUNE 19, 1920
Arriving at Port of NEW YORK, JUNE 29, 1920 |
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| 1. |
2. |
3. |
4. |
5. |
6. |
| No. on List |
Head Tax Status |
Name in Full |
Age |
Sex |
Married or Single |
| Family Name |
Given Name |
Years |
Months |
| 9 |
- |
Grossman |
Pessy |
36 |
- |
female |
married |
| 10 |
- |
Grossman |
Zelman |
9 |
- |
male |
single |
| 11 |
- |
Grossman |
Szlama |
8 |
- |
male |
single |
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|
| 7. |
8. |
9. |
10. |
| Calling or Occupation |
Able to - |
Nationality (Country of
which citizen is subject.) |
Race or People |
| Read |
Read what language |
Write |
| Housewife |
yes |
Yiddish |
yes |
Poland |
Hebrew |
| - |
yes |
under age |
- |
- |
|
| - |
no |
- |
- |
- |
|
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|
|
| 11. |
12. |
13. |
| Last permanent residence |
The name and complete
address of nearest relative or friend in country whence alien came. |
Final Destination |
| Country. |
City or Town |
State |
City or Town |
| Poland |
Mlawa |
Schaje Tachner
Warschauer St. Mlawa
|
Illinois |
Chicago |
| " |
" |
" |
" |
" |
| " |
" |
" |
" |
" |
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| 14. |
15. |
16. |
17. |
18. |
| No. on List |
Whether having 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 when and where? |
| Yes or No? |
If yes - |
| Year |
Where? |
| 9 |
no |
self |
$60 |
no |
- |
- |
| 10 |
" |
mother |
- |
" |
- |
- |
| 11 |
" |
" |
- |
" |
- |
- |
|
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| 19. |
20. |
21. |
22. |
23. |
| Whether
going to join a relative or friend, and if so, name of relative or
friend and complete address? |
Purpose of
entering United States |
Ever in
prison, asylum, supported by charity? |
Whether a
polygimist? |
Whether an
anarchist? |
| Temporary labor? |
Length of stay. |
To become a citizen? |
|
husband: H. Grossman
2207 West Iowa St. Chicago, Illinois
|
no |
always |
yes |
no |
no |
no |
|
father |
" |
" |
" |
" |
" |
" |
|
" |
" |
" |
" |
" |
" |
" |
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| 24. |
25. |
26. |
27. |
28. |
29. |
| Whether a revolutionary
or anarchist? |
Whether coming by offer
of solitcitation? |
Whether previously
deported within one year? |
Condition of health,
mental and physical? |
Deformed or crippled? |
Height |
| feet |
inches |
| no |
no |
no |
good |
no |
4 |
11 |
| " |
" |
" |
" |
" |
- |
- |
| " |
" |
" |
" |
" |
- |
- |
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| 30. |
31. |
32. |
33. |
| Complexion |
Color of - |
Marks of Identification |
Place of birth |
| Hair |
Eyes |
Country |
City or Town |
| fair |
blonde |
blue |
none |
Poland |
Mlawa |
| " |
" |
brown |
" |
" |
" |
| " |
" |
" |
" |
" |
" |
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