SS Kaiser
Wilhelm der Grosse
Affidavit of Surgeon
I, Dr. Ludeke, Surgeon of the "Kaiser Wilhelm der Grosse" sailing therewith do solemnly, sincerely, and truly swear that I have had fifteen years experience as a Physician and Surgeon, and that I am entitled to practice as such by and under the authority of the university of Munster, and that I have made a personal examination of each of the aliens named herein, and that the foregoing Lists or Manifest Sheets, 25 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 the 7th December 1910 in New York (signed) PA Donaghue Immigration Officer
SALOON, CABIN, AND STEERAGE ALIENS MUST BE COMPLETELY MANIFESTED.
LIST OR MANIFEST OF ALIEN PASSENGERS FOR THE UNITED STATES IMMIGRATION OFFICER AT PORT OF ARRIVAL. Required by the regulations of the Secretary 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 by the Commanding Officer of any vessel having such passengers on board upon arrival at a port in the United States.
Columns represent:
1) No. on List;
2) Name in Full (Family name, Given name);
3) Age in Years and Months;
4) Sex;
5) Married or Single;
6) Calling or Occupation;
7) Able to: Read Write;
8) Nationality; (Country of which citizen or subject.)
9) Race or people;
10) Last permanent residence; (Country and City or Town.)
11) The name and complete address of nearest relative or friend in
country whence alien came;
12) Final destination; (State and City or Town.)
13) No. on List; (Since this is the same passenger number as column 1,
column 13 will be eliminated in each passenger's paragraph.)
14) Whether having a ticket to such final destination;
15) By whom was passage paid? (Whether alien paid his own passage,
whether paid by relative, whether paid by any other person or
by any corporation, society, municipality, or government.)
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?
(If yes, year or period of years. 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 almhouse or institution for care and treatment
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, length of time, and cause;
Supplemental information required by Naturalization Act approved June 29, 1906:
25) Height in Feet and Inches;
26) Complexion;
27) Color of Hair and Eyes;
28) Marks of Identification;
29) Place of birth: Country and City or town.
430 Walter
431 Klavik
432 Bastl
433 Mottl, Joh
434 Mottl, A
435 Mottl, Jos
436 Mottl, Ja
437 Mottl, M
438 Achart
439 Roucek
440 Zschimikchek, K
441 Zschimikchek, M
442 Steinbrecher
443 Haar
444 Meyborg
445 Kinspel, W
446 Kinspel, L
447 Kinspel, A
448 Cohen
449 Brandt
450 Smith
451 Russell
452 Hulen
453 Hazen
454 Hoffmann
455 Sapery
456 Nettheim
457 Gottwick
458 Marshall, H
459 Marshall, A
460 Boehm
430 Walter, Josefa, 30y, female, married, housewife; can read/write; nat-Austria; race-
Bohemian; last resi-Ill, Chicago; relative: father, Jan Sip, Stelena, Strahovice,
Boh; final dest-Ill, Chicago; tkt?-yes; passage pd by self; $-more (more than $50);
in US before?-yes, 1905-1910, Ill, Chicago; going to husband, Fr. Walter, (street
address is darkened and cannot be read), Chicago, Ill; in prison-no; polygamist-no;
anarchist-no; promise of work?-no; health-good; crippled-no; height: 5'4"; complex-
fair; hair-brown; eyes-brown; no ID marks; place of birth: Austria, Bohemia,Stelena
431 Klavik, Marie, 17y, female, single, servant; can read/write; nat-Austria, race-
Bohemian; last resi-Bohemia, Stekna; relative: father, Tom Klavik, Stelena,
Strahovice, Bohemia; final dest: Ill, Chicago; tkt?-yes; passage pd by self; has
$15; in US before?-no; going to uncle, (same name & address as #430); in prison-no;
polygamist-no; anarchist-no; promise of work?-no; health-good; crippled-no; height:
5'3-1/2"; complex-fair; hair-light; eyes-grey; no ID marks; place of birth:
Austria, Bohemia, Slatina.
432 Bastl, Vaclav, 47y, male, married, merchant; can read/write; nat-US Cit; race-
Bohemian; last resi-Ill, Chicago; relative (nothing recorded); final dest-Ill,
Chicago; tkt?-yes; passage pd by self; $ more (more than $50); in US before?-yes,
1888-1910, Ill, Chicago; going to wife, Franciszka Bastl, 2525 Springfield Ave,
Chicago, Ill; in prison-no; polygamist-no; anarchist-no; promise of work?-no;
health-good; crippled-no; (no further information recorded, "non-immigrant alien
stamped over place of last residence)
433* Mottl, Johann, 33y, male, married, locksmith; can read/write; nat-Austria; race-
Bohemian; last resi-Ill, Chicago; relative: father-in-law, Jos. Fiser (caron "s"),
Zbirov, Bohemia; final dest-Ill, Chicago; tkt?-yes; passage pd by self; has $500;
in US before?-yes, 1902-1910, Ill, Chicago; going to friend: Jos Macko, 1024 20
Pl, Chicago, Ill; in prison-no; polygamist-no; anarchist-no; promise of work?-no;
health-good; crippled-no; height: 5'3"; complex-fair; hair-light; eyes-blue; no ID
marks; place of birth: Austria, Bohemia, Zbirov. ("non-immigrant alien" stamp over
place of last residence)
434 Mottl, Anna, wife, 27y, female, married, housewife; can read/write; nat-Austria;
race-Bohemian; last resi-Ill, Chicago; relative: father, (same as #433); final dest-
Ill, Chicago; tkt?-yes; passage pd by self; $ (with #433); in US before?-yes,
1902-1910, Ill, Chicago, Ill; going to (same as #433); in prison-no; polygamist-no;
anarchist-no; promise of work?-no; health-good; crippled-no; height: 5'6"; complex-
fair; hair-brown; eyes-blue; no ID marks; place of birth: Austria, Bohemia, Zbirov.
("non-immigrant alien" stamped over place of last residence)
435 Mottl, Josef, ch, 6y, male, single, occupation-none; can't read/write; nat-USB (US
Born); last resi-Ill, Chicago; relative: grandfather: (same as #433); final dest-
Ill, Chicago; tkt?-yes; passage pd by parents; $ (with #433); in US before?-yes,
1902-1910 (ditto to above entry); going to: (same as #433); in prison-no;
polygamist-no; anarchist-no; promise of work?-no; health-good; crippled-no; height:
(no entry); complex-fair; hair-light; eyes-blue; no ID marks; place of birth: USA-
Ill, Chicago.
436 Mottl, Jan, ch, 4y, male, single, occupation-none; can't read/write; nat-USB (US
Born); last resi-Ill, Chicago; relative: grandfather: (same as #433); final dest-
Ill, Chicago; tkt?-yes; passage pd by parents; $ (with #433); in US before?-yes,
1902-1910 (ditto to above entry); going to: (same as #433); in prison-no;
polygamist-no; anarchist-no; promise of work?-no; health-good; crippled-no; height:
(no entry); complex-fair; hair-light; eyes-blue; no ID marks; place of birth: USA-
Ill, Chicago.
437 Mottl, Marie, ch, 2y, female, single, occupation-none; can't read/write; nat-USB
US Born); last resi-Ill, Chicago; relative: grandfather: (same as #433); final dest-
Ill, Chicago; tkt?-yes; passage pd by parents; $ (with #433); in US before?-yes,
1902-1910 (ditto to above entry); going to: (same as #433); in prison-no;
polygamist-no; anarchist-no; promise of work?-no; health-good; crippled-no; height:
(no entry); complex-fair; hair-light; eyes-blue; no ID marks; place of birth: USA-
Ill, Chicago.
438* Achart, Fanny, 22y, female, married, housewife, can read/write; nat-Austria; race-
Bohemian, last resi-NY, New York; relative: father, Jan Marasek, Dobrs (caron "s"),
Volyn (caron "n"), Boh; final dest-NY, New York; tkt?-yes, passage pd by self; has
$100; in US before?-yes, 1905-1910, NYC; going to husband, Willi Achart, 1561
Lexington Ave 99 Str, New York; in prison-no; polygamist-no; anarchist-no; promise
of work?-no; health-good; crippled-no; height: 5'4-1/2"; complex-fair; hair-light;
eyes-blue; no ID marks; place of birth: Austria, Bohemia, Dobrs. ("non-immigrant
alien" stamp over place of last residence; (over column regarding prison, polygamy,
etc, are the words "disch to cousin". See also pass. #403-404 and 407)
439* Roucek (caron "c"), Anna, cousin (bracketed with #438), 17y, female, single,
servant; can read/write; nat-Austria; race-Bohemian; last resi-Bohemia, Volyn
(caron "n"; relative: father, Jos. Roucek, Volyn, Boh.; final dest-NY, New York;
tkt?-yes; passage pd by self; $ (with #438); in US before?-no; going to cousin:
Willi Achart, 1561 Lexington Ave 99 Str, New York; in prison-no; polygamist-no;
anarchist-no; promise of work?-no; health-good; crippled-no; height: 5'4"; complex-
fair; hair-light; eyes-grey; no ID marks; place of birth: Austria, Bohemia, Zbirov
440 Zschimikchek (Zschimitschek), Katharina, 30y, female, married, housewife, can read/
write; nat-Hungary; race-German; Last resi-Hungary, T. Gyarmata; relative: father,
Lorenz Eckert, Siele 3, T.Gyarmata, Temes in H (Hungary); final dest-Pa-Allegheny;
tkt?-no; passage pd by self; has $26; in US before?-yes, 1906-10, Allegheny, Pa;
going to husb; Michael Zschimikchek, 203 Springarten Ave, Allegheny, Pa; in prison-
no; polygamist-no; anarchist-no; promise of work?-no; health-good; crippled-no;
height: 5'2"; complex-fair; hair-blond; eyes-blue; no ID marks; place of birth:
Hungary, T. Gyarmata.
441 Zschimikchek (Zschimitschek), Magdalena, ch, 3y, female, single, no occupation;
can't read/write; nat-Hungary; race-German; last resi-Hungary, T. Gyarmata;
relative: grandfather (same as #440); final dest: Pa-Allegheny; tkt?-no; passage
pd by mother; $ (with #440); going to father (same address as #440); in prison-
no; polygamist-no; anarchist-no; promise of work?-no; health-good; crippled-no;
height: (no entry); complex-fair; hair-blond; eyes-blue; no ID marks; place of
birth: Hungary, T. Gyarmata.
442 Steinbrecher, Rubin, 25y, male, married, tailor; can read/write; nat-Austria;
race-Hebrew; last resi-Galicia, Kobaky; relative: father, Srul Steinbrecher, Kobaky,
Galicia; final dest-N York; tkt?-yes (although this appears to be crossed out);
passage pd by self; has $120; in US before?-no; going to brother-in-law: Leiser
Lustig, 122 Esser St, New York; in prison-no; polygamist-no; anarchist-no; promise
of work?-no; health-good; crippled-no; height: 5'2"; complex-fair; hair-black;
eyes-grey; no ID marks; place of birth: Galicia, Kobaky.
443 Haar, Jonas, 36y, male, married, farm laborer; can read/write; nat-Austria; race:
German; last resi-Galicia, Krakau; relative: wife, Fanny Haar, 48 Krowoderskagasse,
Krakau, Galicia; final dest-N York; tkt?-yes; passage pd by self; has more than
$50; in US before?-no; going to mother, Ida Haar, 103 Norfolk St, N York; in
prison-no; polygamist-no; anarchist-no; promise of work?-no; health-good; crippled-
no; height: 5'8"; complex-fair; hair-blond; eyes-brown; no ID marks; place of
birth: Galicia, Krzeszow. (This passenger has a line drawn through the entire
entry; perhaps he did not make the voyage)
444 Meyborg, Bernhard, 68y, male, married, no occupation; US? (unclear if US Born or
US Cit); final dest-NY, New York; tkt?-yes; going to: 135 Waverly Pl, NYC (no
further information recorded).
445 Kinspel, William, 22y, male, married, merchant; USB (US Born); final dest-NY, New
York; tkt?-yes; going: 1873 Mariposa St, Fresno, Calif (no further info recorded)
446 Kinspel, Lina, 18y, female, married, no occupation; USC (US Citizen); final dest-
NY, New York; tkt?-yes; going to (same as #445) (no further info recorded).
447 Kinspel, Adelia 35y; female, single, no occupation; USC (US Citizen); final dest-
NY, New York; tkt?-yes; going to (same as #445) (no further info recorded).
448 Cohen, Emanuel, 57y, male, wd (widowed); real estate; USC (US Citizen); final
dest-Mich, Detroit; tkt?-no; going: 131 Farnsworth St (no further info recorded)
449 Brandt, Ernst C. 30y, male, married; merchant; can read/write; nat-Germany; race-
German; last resi-USA; relative: his parents: Brandt, Falkenberg 4 Mark; final
dest-New York City; tkt?-yes (although this seems to be crossed out); passage pd by
self; has $100; in US before?-yes 1907-1910, N York; going home his own flat N Y
City, 30 E 20th Street; in prison-no; polygamist-no; anarchist-no; promise of
work?-no; health-good; crippled-no; height: 5'9"; complex-fair; hair-blond; eyes-
blue; no ID marks; place of birth: Germany, Berlin.
450 Smith, Francis W K, 25y, male, single, civil engineer; USB (US Born); final dest-
Mass, Groton; (no further information recorded).
451 Russell, Alex Stuart, 24y, male, single, civil engineer; USB (US Born); final
dest-Mich, Petersburg; (no further information recorded).
452 Hulen, Harry, 24y, male, single, engineer; USB (US Born); final dest-Okla,
Middleberg; (no further information recorded)
453 Hazen, Ralph W. 24y, male, single, engineer; USB (US Born); final dest-N Hamp,
Bethlehem; (no further information recorded).
454 Hoffmann, Edward, 26y, male, single, teacher; USB (US Born); final dest-Utah,
Logan; going: 428 1st East Street, Logan; (no further information recorded)
455 Sapery, Henry H. 32y, male, single, manager smelting works; can read/write; nat-
England; race-English; last resi: Canada, Montreal; relative: T.Wehr, Toronto;
final dest-Canada, Montreal; tkt?-no; passage pd by self; has $50; in US before?-
through 1909; in transit to Canada. in prison-no; polygamist-no; anarchist-no;
promise of work?-no; health-good; crippled-no; height: 5'8"; complex-fair; hair-
brown; eyes-brown; no ID marks; place of birth: Canada, Toronto. ("non-immigrant
alien" stamped over place of last residence & "transit" written between pages)
456 Nettheim, Leopold A. 23y, male, single, merchant; can read/write; nat-England;
race-English; last resi-Australia, Sydney; relative: Felix Nettheim, 10 Challis
Avenue, Potts Point, Sydney; final dest: USA-New York; tkt?-yes; passage pd by
self; has $100; in US before?-no (although "yes" & 1909 have been crossed out);
going: in transit to Australia (and also written in is "New York, Bdway Central
Hotel"); in prison-no; polygamist-no; anarchist-no; promise of work?-no; health-
good; crippled-no; height: 5'6"; complex-fair; hair-dark; eyes-dark; no ID marks;
place of birth: Australia, Sydney. ("non-immigrant alien" stamped over place of
last residence; also "tourist" is written between the pages)
457* Gottwick, Paul Emil, 24y, male, single, clerk (merchant crossed out); can read/
write; nat-German; race-German; last resi-Germany, Grusbady, Ulm; relative:
father, Aug. Gottwick, Ulm, U/D, 25 Grusbady; final dest-NY, New York; tkt?-yes;
passage pd by self; has $70; in US before?-no; going to cousin, Julius Schmidt,
483/7 Titus Street, Astoria, N York; in prison-no; polygamist-no; anarchist-no;
promise of work?-no; health-good; crippled-no; height: 5'9"; complex-fair; hair-
dark; eyes-grey; no ID marks; place of birth: Germany, Ulm.
458 Marshall, Harold Bryce, 43y, male, single, engineer; can read/write; nat-England;
race-English; last resi-(British Isles is written over something, but the town
Boruco is seen); relative: Revd. T. M. Marshall, Croft Sph, Darlington; final
dest-Mexico, Tampico; tkt?-yes; passage pd by S Pearson; has $200; in US before?
yes, ??? to England, NY; in transit to Mexico; in prison-no; polygamist-no;
anarchist-no; promise of work?-no; health-good; crippled-no; height: 6'0";
complex-fair; hair-brown; eyes-brown; no ID marks; place of birth: England,
Bristol. ("non-immigrant alien" stamp over place of last resi, see too pass 459)
459 Marshall, Arthur ?, bro, 42y, male, single, miner; can read/write; nat-England,
race-English; last resi-England, Darlington; relative: (same as passenger #458);
final dest-Mexico, Vera Cruz; tkt?-no; passage pd by self; has $200; in US
before?-4 yr, Virginia, Florida, Cal; going: in transit to Mexico; in prison-no;
polygamist-no; anarchist-no; promise of work?-no; health-good; crippled-no;
height: 5'10-1/2"; complex-dark; hair-brown; eyes-brown; no ID marks; place of
birth: England, Clifton. ("non-immigrant alien" stamped over place of last resi)
460 Boehm, Paul 17y, male, single, textile worker (merchant had been written), can
read/write; nat-Germany, race-German; last resi-England, Bradford; relative: None;
final dest-NY, New Jersey; tkt?-no; passage pd by father; has $20; in US before?-
yes, 1905-1908, Passaic; going to father, Anthony Boehm, 135 Autumn St, Passaic,
NJ; in prison-no; polygamist-no; anarchist-no; promise of work?-no; health-good;
crippled-no; height: 5'5"; complex-fair; hair-bro; eyes-bl; no ID marks; place of
birth: Germany, Gera.
Transcriber's Notes:
A ? indicates letter or letters that could not be read because of the quality
of the document or the handwriting of the original lister. Every attempt is
made to list possibilities when feasible.
The numbering system is that of the transcriber and not of the original
lister. The form allows for 30 passengers per page, but at times the original
lister did not completely fill the page. When possible the transcriber has
listed 30 passengers per page.
Parentheses are used by the transcriber to clarify or add additional informa-
tion. They were not placed by the original lister.
The lister frequently abbreviated son-in-law as "sil" and brother-in-law as
"bil"; transcriber spelled these completely for ease in understanding.
The lister abbreviated "male" as "m" and "female" as "f"; transcriber spelled
these completely for ease in reading. Lister also abbreviated "married" as "m"
and "single" as "s"; again, these were spelled completely by transcriber.
Occasionally there were numbers written in above the column, particularly the
occupation column. These refer to the naturalization process. See jewishgen.org
for an explanation.
433, 438, 439 A caron is a "v" shaped accent over some c's, d's, dz's, n's,
t's and z's in Slovak
457 The surname appears to have the "c" crossed out. Gottwik? Relative's
name also could be Gottwiek.
* For pictures, newspaper articles, etc., on this voyage please go
to Page 1 using the link at the bottom of this page.
National Archives and Records Administration: Film T715, Reel 1605, Volume 3536
Contributed by Sharon Hartman Krisko a member of the
Immigrant Ships Transcribers Guild
Transcribed by Patricia Martin Kennedy and Lora Lee Ament members of the
Immigrant Ships Transcribers Guild
20 February 2004
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