Immigrant Ships
Transcribers Guild

SS Vaderland

Required by the regulations 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 of any vessel having such passengers on board upon arrival at a port in the United States. SS Vaderland, sailing from Antwerp October 2 1909, Arriving at Port of New York October 12, 1909

Affidavit of the Master or Commanding Officer, or First or Second Officer.

I, Thomas G. Barrudy, Master of the S.S. Vaderland, from Antwerp, do solemnly, sincerely, and truly swear that I have caused the surgeon of said vessel sailing therewith, or the surgeon employed by the owners thereof, to make a physical and oral examination of each and all of the aliens named in the foregoing List or Manifest Sheets 41 in number, and that from the report of said Surgeon and from my own investigation, I believe that no one of said aliens is an idiot, or imbicile, or a feeble-minded person or insane person, or a pauper, or is likely to become a public charge, or is afflicted with tuberculosis or with a loathsome or dangerous contagious disease, or is a person who has been convicted of, or who admits having committed a felony or other crime or misdemeanor involving moral turpitude, or is a polygamist or one admitting belief in the practice of polygamy, or an anarchist, or under a promise or agreement, express or implied, to perform labor in the United States, or a prostitute, or a woman or girl coming to the United States for the purpose of prostitution, or for any other immoral purpose, and, that also, according to the best of my knowledge and belief, the information in said List or Manifest, concerning each of said aliens named thereon, is correct and true in every respect. (signed) ????? ??????????

Sworn to before me this Oct 12 1909 at NY. (signed) O.E. Hackett, Immigration Officer

Affidavit of Surgeon

I, D.A. Oliviers, Surgeon of the SS Vaderland, sailing vessel, do solemnly, sincerely and truly swear that I have had 3 years experience as a Physician and Surgeon and that I am entitled to practice such by and under the authority of University of Louvain, and that I have made a personal examination of each of the aliens named herein, and that the foregoing List or Manifest Sheet 41 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 Oct 12 1909 at NY (signed) O.E. Hackett, Immigration Officer

 
Columns represent:

 1) Number on list.
 2) Name in Full; Family and Given.
 3) Age in years and months.
 4) Sex.
 5) Married or Single.
 6) Calling or Occupation.
 7) Able to Read and Write
 8) Nationality: Country of which citizen or subject
 9) Race of People.
10) Last Permenant Residence; Country / City or Town.
11) Name and address of nearest relative or friend in country whence
    alien came.
12) Final Destination; State, City or Town.
13) * Number on List.
14) Whether having a ticket to such final destination.
15) By whom was passage paid?
16) Whether in possession of $50  and if less, how much?
17) Whether ever before in the United States; and if so, when and
    where?
18) Whether going to join a relative or friend; and if so, what 
    relative or friend, and his name and complete address.
19) Ever in prison or almshouse institution for the care and support
    of the insane, or supported by charity. If so, which?
20) Whether a Polygamist?
21) Whether an Anarchist.
22) Whether coming by reason of any offer, solicitation, promise, or
    agreement, expressed or implied, to labor in the United States?
23) Condition of Health, Mental and Physical.
24) deformed or Crippled, Nature of time, and cause.
25) Height; Feet and Inches.
27) Color of; Hair and Eyes.
28) Marks of Identification.
29) Place of Birth; Country and City or Town 

PASSENGER LINKS

258  Cuthbert, Antonia

259  Cuthbert, Elisa

260  Cuthbert, John

261  Decoster

262  Heines

263  Stein, Frank

264  Stein, Margareta

265  Lewandowski

266  Thissen, Henry

267  Thissen, Hugh

268  Pride, William

269  Pride, Mrs. William

270  Pride, Genevive

271  Wolverton

272  Kohler

273  Ottusch, Katherina

274  Ottusch, Friedrich

275  Kussch

276  Derikart

277  Wall

278  Trigaun

279  Horwedel

280  Bossner, Felix

281  Bossner, Ida

282  Cuisset, Marie

283  Cuisset, Emile

284  Mossmuller

285  Zwickl

286  Loos

287  Schwarz 



258  Cuthbert, Antonia; 26; female ; Married; Occupation: None; 
     U.S. citizen; 
     Columns 7 - 29 left blank.


259  Cuthbert, Elisa; 11; female; Single; Occupation: None; 
     U.S. citizen; 
     Columns 7 - 29 left blank.


260  Cuthbert, John; 9; male; Single; Occupation: None; 
     U.S. citizen; 
     Columns 7 - 29 left blank.


261  Decoster, Ferdinand; 21; male; Single; Glassworker; 
     U.S. citizen; 
     Columns 7 - 29 left blank.


262  Heines, Gerhard; 53; male; Married; Finisher; 
     U.S. citizen; 
     Columns 7 -29 left blank.


263  Stein, Frank; 44; male; Married; Butcher; 
     U.S. citizen; 
     Columns 7 -29 left blank.


264  Stein, Mrs. Margareta; 45; female; Married; Occupation: None; 
     U.S. citizen; 
     Columns 7 -29 left blank.


265  Lewandowski, Joseph; 23; male; Single; Butcher; 
     U.S. citizen; 
     Columns 7 -29 left blank.


266  Thissen, Henry; 49; male; Married; Dyer; 
     U.S. citizen; 
     Columns 7 -29 left blank.


267  Thissen, Hugh, written in margin the word son; 25; male; Married; Dyer; 
     U.S. citizen; 
     Columns 7 -29 left blank.


268  Pride, William; 59; male; Married; Engineer; 
     U.S. citizen; 
     Columns 7 -29 left blank.


269  Pride, Mrs. William; 41; female; Married; Occupation: None;  
     U.S. citizen; 
     Columns 7 -29 left blank.


270  Pride, Genevive; 10; female; single; Occupation: None; 
     U.S. citizen; 
     Columns 7 -29 left blank.


271  Wolverton, Myron T.; 52; male; Married; Farmer; 
     U.S. citizen; 
     Columns 7 -29 left blank.


272  Kohler, Offilie; 43; female; Married; Occupation: None; 
     U.S. citizen; 
     Columns 7 -29 left blank.


273  Ottusch, Katherina; 36; female; Married; Occupation: None; 
     U.S. citizen; 
     Columns 7 -29 left blank.


274  Ottusch, Friedrich; 9; male; Single; Occupation: None; 
     U.S. citizen; 
     Columns 7 -29 left blank.


275  Kussch, John Mathews; 24; male; Glassworker; 
     U.S. citizen; 
     Columns 7 -29 left blank. [name could be Kutsch]


276  Derikart, John; 63; male; Married; Baker; 
     U.S. citizen; 
     Columns 7 -29 left blank.


277  Wall, Michael; 67; male; Widower; Retired; 
     U.S. citizen; 
     Columns 7 -29 left blank.


278  Trigaun, Victor; 45; male; Married; Glassworker; 
     U.S. citizen; 
     Columns 7 -29 left blank. [name could be Trigaux]


279  Horwedel, Mary; 36; female; Married; Occupation: None; 
     U.S. citizen; 
     Columns 7 -29 left blank.


280  Bossner, Felix; 48; male; Married; Chemist; 
     Can read/write; Citizen of: Germany; German race; 
     Last residence:  Germany, Cobbing; 
     Nearest relative: Father, Carl Bossner, Keula, Theirmiger, Germany; 
     Destination: NY; NY; 
     Line drawn through on whether has ticket for final destination; 
     Passage paid for by self; 
     In possession of $50; 
     Has never been in the U.S.; 
     Joining Brother in law, Max Borg, 20 Broad Str. NY, 
     Never in prison or supported by charity; not a polygamist or anarchist; 
     Not coming to Labor in the U.S.; 
     In good health; not deformed or crippled; Height: 5'6"; 
     Complexion fair; black hair; blue eyes; 
     No marks of identification; 
     Place of birth: Germany, Keula. [name could be Bottner]

 
281  Bossner, Ida; 30; female; Married; Housewife; 
     Can read/write; Citizen of: Germany; German race; 
     Last residence:  Germany, Cobbing; 
     Nearest relative: Father, Carl Bossner, Keula, Theirmiger, Germany; 
     Destination: NY; NY; 
     Columns 14 - 17 left blank; 
     Has never been in the U.S.; 
     Joining Brother in law, Max Borg, 20 Broad Str. NY, 
     Never in prison or supported by charity; not a polygamist or anarchist; 
     Not coming to Labor in the U.S.; 
     In good health; not deformed or crippled; Height: 5'; 
     Complexion dark; brown hair; grey or green eyes; 
     No marks of identification; 
     Place of birth: Germany, Urudel.


282  Cuisset, Marie; 22; female; Married; Housewife; 
     Can read/write; Citizen of: French, French race; 
     Last residence:  France; Roubain; 
     Nearest relative: Mother, Mrs. E. Bohez, Rue de Longue Haie, Cour de Boise 12, Roubain; 
     Destination: R.I; Woonsocket; 
     Does not have ticket for final destination; passage paid for by self; 
     In possession of $10; 
     Has never been in the U.S.; 
     Joining Husband, Emile Cuisset, 79 Cumberland Str. Woonsocket, Rhode Island; 
     Never in prison or supported by charity; not a polygamist or anarchist; 
     Not coming to Labor in the U.S.; 
     In good health; not deformed or crippled; Height: 5'; 
     Complexion dark; brown hair; blue eyes; 
     No marks of identification; 
     Place of birth: Belgium.


283  Cuisset, Emile; 4; male; Single;  Occupation: None; 
     Can not read/write; Citizen of: French; French race; 
     Last residence:  France; Roubain; 
     Nearest relative: Grandmother, Mrs. E. Bohez, Rue de Longue Haie, 
     Cour de Boise 12, Roubain; 
     Destination: R.I; Woonsocket; 
     Does not have ticket for final destination; passage paid for by Father; 
     In possession of no money; 
     Has never been in the U.S.; 
     Joining Husband, (Father) Emile Cuisset, 79 Cumberland Str. Woonsocket, 
     Rhode Island; 
     Columns 25 - 29left blank.


284  Mossmuller, Ursula; 48; female; Married; Housewife; 
     Can read/write; Citizen of: Germany; German race, stamped Non Immigrant
     Alien; 
     Nearest relative: Sister, Rosine Fribach, 179 Simfenburge Str. Munich; 
     Destination: NY; NY; 
     Line drawn through on whether has ticket for final destination; 
     Passage paid for by self; 
     In possession of $30; 
     Has been in the U.S.; 1903/9; 
     Joining Husband, Heinrich Mosmuller, 421 E. 64th Str. NY; 
     Never in prison or supported by charity; not a polygamist or anarchist; 
     Not coming to Labor in the U.S.; 
     In good health; not deformed or crippled; Height: 4'10";
     Complexion fair; black hair; grey or green eyes; 
     No marks of identification; 
     Place of birth: Germany, Munich.


285  Zwickl, Anna, transcribers note: Niece written after name, related to
     Mossmuller, Ursula;  18;  female;  Single;  Occupation: None; 
     Can read/write; Citizen of: Germany; German race; 
     Last residence:  German; Munich;
     Nearest relative: Mother, Mrs. Anna Zwickl, 139 Tchekensee la?? Str. Munich; 
     Destination: NY; NY; 
     Line drawn through on whether has ticket for final destination; 
     Passage paid for by self; 
     In possession of no money; 
     Has never been in the U.S.; 
     Travels with cousin Mrs. U. Mosmuller, 421 E. 64th Str. NY; 
     Never in prison or supported by charity; not a polygamist or anarchist; 
     Not coming to Labor in the U.S.; 
     In good health; not deformed or crippled; Height: 5'5"; 
     Complexion dark; dark hair; dark grey or green eyes; 
     No marks of identification; 
     Place of birth: Germany, Munich.


286* Loos, Elisa; 24; female; Single; None; 
     Can read/write; Citizen of: Germany; German race, 
     Last residence:  Germany; Frankerthal; 
     Nearest relative: Father, Heinrich Loos, 110 Wormser Land Str. Frankerthal; 
     Destination: NY; NY; 
     Line drawn through on whether has ticket for final destination; 
     Passage paid for by self; 
     In possession of $50; 
     Has never been in the U.S.; 
     Joining Uncle, Louis Bender, 186 Nassan Str. Brooklyn, NY; 
     Never in prison or supported by charity; not a polygamist or anarchist; 
     Not coming to Labor in the U.S.; 
     In good health; not deformed or crippled; Height: 5'2"; 
     Complexion fair; black hair; grey or green eyes; 
     No marks of identification; 
     Place of birth: Germany, Lamboheim.


287* Schwarz, Siegfried; 26; male; Single; Butcher; 
     Can read/write; Citizen of: Germany; Hebrew race, 
     Last residence:  Germany; Bohemheim; 
     Nearest relative: Father, Abraham Schwarz, Bohemheim, Germany; 
     Destination: PA; Braddock;
     Does not have ticket for final destination; passage paid for by self; 
     In possession of $50; 
     Has never been in the U.S.; 
     Joining Brother Beno Schwarz, 218 3rd Str. Braddock, PA; 
     Never in prison or supported by charity; not a polygamist or anarchist; 
     Not coming to Labor in the U.S.; 
     In good health; not deformed or crippled; Height: 5'6"; 
     Complexion dark; dark hair; dark brown eyes; 
     No marks of identification; 
     Place of birth: Germany, Bohemheim.


Transcriber's Notes:

* The use of a * indicates special information in Transcribers Notes.
* The use of a ? indicates a word of letters that could not be read, due to quality
  of original document.

Reviewer's Notes:

286: S.I. is written in front of the name, this passenger was held for special inquiry,
     PAGE 36, passenger 286 for more information.
     The name shows as Mickert, which is crossed out and replaced by Loos.
287: S.I. is written in front of the name, this passenger was held for special inquiry,
     PAGE 36, passenger 287 for more information.
     The name is spelled Schwartz on page 36.


* For a brief history of this ship please go to Page 1 using the link at the bottom of this page.

National Archives and Records Administration, Film T715, Reel 1353.

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