Barkentine Province
I, (line left blank), Surgeon of the Barkentine Province, do solemnly, sincerely and truly (line left blank) that I have had (line left blank) years experience as a Physician and Surgeon, and that I am entitled to practice as such by and under the authority of (line left blank) and that I have made a personal examination of each of the aliens named herein, and that the foregoing Lists or Manifest Sheets 3 in number are, according to the best of my knowledge and belief, full, correct and true in all particulars, relative to the mental and physical condition of such aliens.
Sworn to before me this 30 day of March 1904 at (line left blank - no signature)
Barkentine Province sailing from Liverpool, England latter part November 1903 arriving at Port of New York early in Jan 1904. Immigrant has no record of dates. List 1 page 63
Columns represent: Name, Age, Sex, Married or Single, Able to Read/Write, Nationality, Race or People, Final Destination, By whom was passage paid, Whether in Possession of $50 - amount if less, Whether before in U. S., Whether joining a relative
1 Quigley, Patrick; 16y6mo; single; Occup. laborer; Can read and write: yes/yes; Nationality: Ireland; Race: Irish; Last destination: Londonderry; Final destination: New York; Does he have ticket for final destination: No he was a stowaway; Any money: none; Ever been in US before: never; Joining a relative: no one. Transcriber's Notes: * This is the only passenger on this manifest; beneath his information appears a note: "Appeared at Ellis Island for inspection and registration March 30, 1904 at 5:15 p.m." (signed) Ratz.
National Archives and Records Administration, Film T715, Reel 441, List 839-840.
Transcribed by Stephanie Holladay a member of the
Immigrant Ships Transcribers Guild
12 May 2000
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