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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 (white) sheet is for the listing of STEERAGE PASSENGERS ONLY. |
S.S.
Westernland Passengers sailing from, Antwerp,
August 1, 1930
Arriving at Port of New York, August 11, 1930
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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 |
6 |
- |
Tachna |
Szlama |
61 |
- |
male |
married |
7 |
- |
Tachna |
Pesa Rywka |
53 |
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female |
married |
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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 |
merchant |
yes |
Polish |
yes |
Poland |
Hebrew |
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11. |
12. |
13. |
14. |
Place of birth |
Immigration Visa Number |
Issued at - |
Date |
Country. |
City or Town |
Poland |
Mlawa |
1515 |
Warsaw |
July 3, 1930 |
Poland |
Przaznysz |
2750 |
Warsaw |
April 9, 1930 |
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15. |
16. |
17. |
Last Permanent Residence |
No. on List |
The name and complete
address of nearest relative or friend in country whence alien came. |
Country |
City or town |
Poland |
Przaznysz |
6 |
brother in law: Josek Olszewer.
Praznysz, Poland
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Poland |
Przaznysz |
7 |
brother: Josek Olszewer.
Praznysz, Poland
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18. |
19. |
20. |
21. |
Final Destination |
Whether having a ticke
to such final destination. |
By whom was passage
paid? |
Whether in possession of
$50 and if so how much? |
State |
City or town |
New York |
Bronx |
yes |
self |
$100 |
New York |
Bronx |
yes |
accompanying husband |
$0 |
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22. |
23. |
Whether ever before in
the United States, and if so, where? |
Whether going to join a
relative or friend, and if so, name and complete address. |
Yes or No |
If yes - |
Year or period of years |
Where? |
no- |
no |
no |
son: Louis Tachna
Bronx, N.Y. 128 W. 168th St.
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no |
no |
no |
son: Louis Tachna
Bronx, N.Y. 128 W. 168th St.
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24. |
25. |
26. |
27. |
Purpose of coming to
United States |
Whether ever been in an
almhouse? |
Whether a polygymist? |
Whether an anarchist? |
Intends to return to native country? |
Length of time to remain in the
United States. |
Whether alien intends to become a
citizen. |
no |
always |
yes |
no |
no |
no |
no |
always |
yes |
no |
no |
no |
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28. |
29. |
30. |
31. |
32. |
33. |
Whether a revolutionary? |
Whether coming by offer
of solitcitation? |
Whether alien has been
deported within one year? |
Condition of health,
mental and physical. |
Deformed or crippled? |
Height |
Feet |
Inches |
no |
no |
no |
good |
no |
5 |
6 |
no |
no |
no |
good |
no |
5 |
1 |
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34. |
35. |
36. |
Complexion |
Color of |
Marks of Identificaton. |
Hair |
Eyes |
fair |
grey |
blue |
senility |
fair |
grey |
brown |
varicose veins |
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