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. S.S. 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

611 Gretkierevicz M

612 Gretkierevicz F

613 Gretkierevicz Fr

614 Gretkierevicz A

615 Sokalski I

616 Sokalski L

617 Bilavacz

618 Tomasik J

619 Tomsik W

620 Swidler

621 Szyszka

622 Cedzidlo A

623 Cedzidlo S

624 Mucha

625 Zawada

626 Senkovski

627 Rybka D

628 Rybka B

629 Rybka M

630 Szala

631 Karnas

632 Kohulski

633 Twarsg

634 Biela

635 Sliz

636 Rozwod

637 Czech

638 Rybka L

639 Rybka W

640 Sobczyk



611  Gretkierevicz, Marya; 27y; female; married; hwife; can read/write; 
     nat'l: Austria; race: Polish;
     last res: Kretowec, Austria;
     rel. in homeland: brother Josef Gretkierevicz;
     destination: Amsterdam, NY; 
     passage paid by self; in poss. of $60 for her group;
     rel. in U. S. husband Franciszek Gretkierevicz;
     Height 4'11'' skin: dk hair: br eyes bl; 
     birthplace: Kretowec, Austria


612  Gretkierevicz, Franciszka; 4y; female; single; child;
     nat'l: Austria; race: Polish; 
     last res: Kretowec, Austria;
     rel. in homeland: Josef Gretkierevicz; 
     destination: Amsterdam, NY;
     passage paid by mother; 
     rel. in U. S. Franciszek Gretkierevicz; 
     birthplace: Kretowec, Austria


613  Gretkierevicz, Franciszek; 2y; male; single; child;
     all other info. same as above.


614  Gretkierevicz, Antoni (handwritten bro i.l.); 19y; male; single;
     day lab; can read/write;
     nat'l: Austria; race: Polish 
     last res: Kretowec, Austria;
     rel. in homeland: father Jan Gretkierevicz; 
     destination: Amsterdam, NY; passage paid by self; in poss. of $20; rel. 
     in U. S. uncle Gregorza Wojcickiego;
     Height 5'6'' skin: dk hair: br eyes: bl; 
     birthplace: Kretowec, Austria


615* Sokalski, Ignacy; 28y; male; married; day lab; can read/write;
     nat'l: Austria; race: Polish;
     last res: W. Virginia;
     (words non immigrant alien stamped over last res);
     rel. in homeland: father Franciszek Sokalski;
     destination: Amsterdam, NY;
     passage paid by self; in poss. of $54;
     was in U. S. 1906-08;
     rel. in U. S. uncle Gregorza Wojcickiego;
     (note: arrested sexual development which affects ability, etc.);
     Height 5'8'' skin: fair 
     hair: bk eyes: bl;
     birthplace: Hrycowac, Austria


616* Sokalski, Luisa; 23y; female; married; hwife; can read/write;
     nat'l: Austria; race: Polish;
     last res: W. Virginia
     (words non immigrant alien stamped over last res);
     rel. in homeland: Franciszek Sokalski;
     destination: Amsterdam, NY; 
     passage paid by husband;
     was in U.S. 1906-08;
     rel. in U. S. Gregorza Wojcickiego;
     Height 5'2'' skin: dk; hair: fair; 
     eyes: bl;
     birthplace: Hrycowec, Austria


617* Bilavacz, Aleksander; 30y; male; married; lab; can read/write;
     nat'l: Austria; Race: Polish;
     last res: Guymalow, Austria;
     rel. in homeland: mother Ludwika Bela???; 
     destination: Baltimore, Md.; 
     passage paid by self; in poss. of $34; rel in U. S. 
     cousin Jana Hordkiego; 
     Height: 5'9'' skin dk; hair: br; eyes: br;
     birthplace: Guymalow, Austria


618  Tomasik, Jadwiga; 25y; female; married; wife; cannot read/write;
     nat'l: Austria; race: Polish;
     last res: Marszovice, Austria;
     rel. in homeland: mother Marcyk Maya;
     destination: Chicopee Falls, Mass.;
     passage paid by self; in poss. of $33;
     rel. in U. S. husband 
     Tomasik Henryk;
     Height 5'1'' skin: dk hair: fair eyes: bl;
     birthplace: Marszovice, Austria


619  Tomasik, Wiktorya; 9/12m; female; single; 
     nat'l: Austria; race: Polish; 
     last res: Marszovice, Austria; 
     rel. in homeland Marcyk Maya;
     destination: Chicopee Falls, Mass.;
     passage paid by mother;
     rel. in U. S. Tomasik Henryk;
     birthplace: Marszovice, Austria


620* Swidler, Jan; 18y; male; single; day lab; can read/write;
     nat'l: Austria; race: Polish;
     last res: Wyzna, Austria;
     rel. in homeland: father Swider Piotr;
     destination: Chicago, Ills.;
     passage paid by: self; in poss. of $9;
     rel. in U. S. brother Swider Tamasz; 
     Height 4'10'' skin: fair hair: fair eyes: br;
     birthplace: Wyzna, Austria


621* Szyszka, Franciszek; 18y; male; single; day lab; can read/write;
     nat'l: Austria; race: Polish;
     last res: Rawa, Austria;
     rel. in homeland: mother Rosalia Szyszka;
     destination: Chicago, Ills.;
     passage paid by: self; in poss. of $10;
     rel. in U. S. sister Bronislava
     Szyszka; (note says "not on board")


622* Cedzidlo, Agnieszka; 20y; female; married; hwife; cannot read/write;
     nat'l: Austria; race: Polish;
     last res: Zolynia, Austria;
     rel. in homeland: father Welck Jan;
     destination: Chicago, Ills.;
     passage paid by: self; in poss. of $2; 
     rel. in U. S. husband Cedzidlo Josef;
     Height 5'1'' skin: dk hair: br eyes: bl;
     birthplace: Zolynia, Austria


623  Cedzidlo, Stanislau; 2y; male; single;
     nat'l: Austria; race: Polish; 
     last res: Zolynia, Austria;
     rel. in Homeland: Welck Jan;
     destination: Chicago, Ills.; 
     passage paid by mother; 
     rel. in U. S. Cedzidlo Josef;
     birthplace: Zolynia, Austria


624* Mucha, Anna; 26y; female; married; hwife; cannot read/write;
     nat'l: Austria; race: Polish;
     last res: Wesola, Austria;
     rel. in homeland: father Michal Ucha;
     destination: E. Chicago, Ind.;
     passage paid by: self; in poss. of $24;
     rel. in U. S. husband 
     Stanislas Mucha;
     Height 5'1'' skin: dk hair: br eyes:bl;
     birthplace: Wesola, Austria


625  Zawada, Andrzej; 25y; male; married; farmer; can read/write;
     nat'l: Austria; race: Polish;
     last res: Wesola, Austria;
     (stamp reads non immigrant alien); rel. in 
     homeland: wife Julia Zawada;
     destination: Frd. Harbor, Ind.; passage
     paid by self; in poss. of $27;
     in U. S. 1905-08;
     rel. in U. S. cousin Jan Szypkovski;
     Height 5'5'' skin fair hair: br eyes: br;
     birthplace: Wesola, Austria


626  Senkovski, Andrzej; 25y; male; single; day lab; can read, cannot write;
     nat'l: Austria; race: Polish;
     last res: Wesola, Austria;
     rel. in homeland: father Senkovski Wincenty;
     destination: McKeesport, Pa.;
     passage paid by:self; in poss. of $27;
     in U. S. 1904-1907;
     rel. in U. S. cousin Karnas Jan;
     Height 5'5'' skin: fair hair: br eyes: bl; 
     birthplace: Wesola, Austria


627  Rybka, Domicela; 26y; female; married; hwif; cannot read/write;
     nat'l: Austria; race: Polish;
     last res: W. Blazowa, Austria;
     rel. in homeland: father Wojciech Szala; 
     destination: McKeesport, Pa.; 
     passage paid by: self; in U. S. 190?-1909; in poss of $40;
     rel. in U. S. husband Jan Rybka;
     Height 5'5'' skin: fair hair: br eyes: bl; 
     birthplace: Blazowa, Austria


628  Rybka, Bronislawa; 3y; female; single;
     (note says U.S. born);
     last res: W Blazowa, Austria;
     rel. in homeland: Wojciech Szala;
     destination: McKeesport, Pa.;
     passage paid by mother; 
     rel. in U. S. Jan Rybka;
     birthplace: Blazowa, Austria


629  Rybka, Marya; 2y; female; single; 
     (other info. same as sister above)


630  Szala, Katarzyna; 19y; female; single; svt;
     nat'l: Austria; race: Polish; last res: W. Blazowa, Austria;
     Rel. in homeland: father Jedrzej Szala;
     destination: McKeesport, Pa.;
     passage paid by self; in poss. of $14;
     rel. in U. S. brother Jan ("and sister" written in);
     Height 4'9'' skin: fair hair: fair eyes: bl;
     birthplace: Blazowa, Austria


631  Karnas, Szezepan; 28y; male; married; farmer; cannot read/write;
     nat'l: Austria; race: Polish;
     last res: Wesola, Austria (stamped non immigrant alien);
     rel. in homeland: wife Katarzyna Karnas;
     destination: McKeesport, Pa.;
     passage paid by: self; in poss. of $24; 
     in U. S. 1907-08;
     rel. in U. S. brother Jan Karnas;
     Height 5'8'' skin: fair hair: 
     fair eyes: bl;
     birthplace: Wesola, Austria


632* Kohulski, Josef; 40y; male; married; day lab; cannot read/write;
     nat'l: Austria; race: Polish; Chmiclow, Austria;
     rel. in homeland: wife Kohulska Marya;
     destination: Pittsburg, Pa.;
     passage paid by: self; in poss. of $25;
     rel. in U. S.  brother in law Glaz Maciej; 
     Height 5' skin: dk hair: br eyes: bl;
     birthplace: Chrycelow, Austria


633  Twarsg, Rozalia; 21y; female; married; hwif; can read/write;
     nat'l: Austria; race: Polish;
     last res: Starawics, Austria; 
     rel. in homeland: father Franciszek Twarsg; 
     destination: Pullman, Ills.;
     passage paid by: self; in poss. of $15;
     rel. in U. S. husband Jan Twarsg; 
     Height 4'9'' skin: fair hair: fair eyes: bl;
     birthplace: Starawics, Austria


634  Biela, Wojciech; 20y; male; single; day lab; can read/write;
     nat'l: Austria; race: Polish;
     last res: Chmiclow, Austria;
     rel. in homeland: mother Biela Helena; destination: 
     Pittsburg, Pa.;
     passage paid by: self; in poss. of $24;
     rel. in U. S. brother in law Maciej Glaz ("and sister" written in); 
     Height 5'5'' skin: fair hair: br eyes: br;
     birthplace: Chmiclow, Austria


635  Sliz, Wiktorya; (sister of #26); 20y; female; married; hwif; can read/write;
     nat'l: Austria; Race: Polish;
     last res: Rakozava, Austria;
     rel. in homeland: father Wi??ovki Josef;
     destination: Munhall, Pa.;
     passage paid by: self; in poss. of $5;
     rel. in U. S. husband Sliz Antoni;
     Height 5'2'' skin: fair hair: br eyes: bl;
     birthplace: Rakosava, Austria


636  Rozwod, Katarzyna; (sister of #25); 18y; female; single; svt; can read/write;
     nat'l: Austria; race: Polish;
     last res: Rakozava, Austria;
     rel. in homeland: father Rozwod Tomasz;
     destination: Munhall, Pa.;
     passage paid by: self; in poss. of $10;
     rel. in U. S. brother in law Sliz Antoni;
     Height 5' skin: dk hair: fair eyes: bl;
     birthplace: Rakosava, Austria


637* Czech, Jakob; 18y; male; single; day lab; can read/write;
     nat'l: Austria; race: Polish;
     last res: Zolynia, Austria;
     rel. in homeland: mother Czech Zofia;
     destination: Amsterdam, NY;
     passage paid by: self; in poss. of $0;
     rel. in U. S. sister Czech Anna;
     Height 5'3'' skin: fair hair: fair eyes: bl;
     birthplace: Zolynia, Austria


638  Rybka, Ludwika; 27y; female; married; hwif; can read/write;
     nat'l: Austria; race: Polish;
     last res: Blazowa, Austria;
     rel. in homeland: father Rybka Michal;
     destination: McKeesport, Pa.;
     passage paid by self; in poss. of $8;
     rel. in U. S. husband Rybka Kasimiersz;
     Height 5' skin: dk hair: fair eyes: bl;
     birthplace: Blazowa, Austria


639  Rybka, Wladyslaw; 11m; male; single;
     nat'l: Austria; race: Polish;
     last res: Blazowa, Aystria;
     rel. in homeland: Rybka Michal;
     destination: McKeesport, Pa.;
     passage paid by: mother;
     rel. in U. S. Rybka Kasimiersz;
     birthplace: Blazowa, Austria


640  Sobczyk, Josefa; 25y; female; married; hwif; cannot read/write;
     nat'l: Austria; race: Polish;
     last Res: Blazowa, Austria;
     rel. in homeland: mother Ludvika Sobczyk; 
     destination: McKeesport, Pa.;
     passage paid by: self; in poss. of $24;
     rel. in U. S.  husband Sobczyk Franciszek;
     Height 5'1'' skin: fair hair: fair eyes: 
     bl; birthplace: Blazowa, Austria


Transcriber's Notes:

* The use of an * indicates an omission or error made by the original recorder.
* The use of a ? indicates a word or letters that could not be read due to quality
  of original document

 
 617: relative in homeland looks like "Belanov" for surname, I'm only certain
               of "B" and "la"

Reviewer's Notes:

615 & 616: X is in front of the name. This means these passengers were temporarily detained, 
           see PAGE 37, passengers 615 & 616 for more information.
620 & 622: X is in front of the name. This means these passengers were temporarily detained, 
           see PAGE 40, passengers 620 & 622 for more information.
621:       a line is drawn through all information.
624:       11-218282 - (505) - 11/29/40 is written in the occupation coloumn, click here for more information.
632:       the last name could be Kotulski. 
           X is in front of the name. This means this passenger was temporarily detained, 
           see PAGE 38, passenger 632 for more information.
637:       S.I. is written in front of the name, this passenger was held for special inquiry. See
           PAGE 37, passenger 637 for more information.
           2-388060 - 12-2-35 is written in the occupation coloumn, is written in the occupation 
           coloumn, click here for more information.


* 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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