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.
1259 Feuer
1260 Piotrowski
1261 Ciez
1262 Percz
1263 Steuke
1264 Fleischman, N
1265 Fleischman, A
1266 Komaz
1267 Jakel
1268 Fellenz
1269 Keller, Magdalena
1270 Keller, A
1271 Keller, Magdalena
1272 Keller, J
1273 Keller, E
1274 Mroz
1275 Hojsik, J
1276 Hojsik, F
1277 Hojsik, M
1278 Hojsik, A
1279 Hojsik, S
1280 Tronecik
1281 Brno
1282 Wegrzyniak, M
1283 Wegrzyniak, A
1284 Palidor
1285 Pavlikowski, Jozef
1286 Pavlikowski, Jozef
1287 Zeglin
1288 Voigt
1259* Feuer, David, 20y, male, single, merchant (this written over trader); can read/write;
nat: Austria; race: Hebrew; last resi: Galicia, Przemysl; relative: father, Wolf
Feuer; final dest: New York; tkt?-yes; passage pd by self; has $25; in US before?-yes,
1906-1907, New York; going to: cousin, Chaim B Betzon, Esick Str, NY; in prison-no;
polygamist-no; anarchist-no; promise of work?-no; health-good; crippled-no; height:
5'5"; complex-fair; hair-blk; eyes-br; marks of ID-no; place of birth: Galicia,
Przemysl ("SI" is written and "admitted" is stamped over the passenger number. This
passenger was held for special inquiry; see Special Inquiry List, pg. 43, #2)
This passenger was held for special inquiry, click here for further information,
1260 Piotrowski, Jan, 42y, male, married, farm laborer; can't read/write; nat: Austria;
race: Polish; last resi: Galicia, Gorlice; relative: wife, Anna Piotrowska, Gorlice,
Galicia; final dest: Pa-Pittsburg; tkt?-yes; passage pd by self; has $20; in US
before?-yes, 1907-1908, Pittsburg, Pa; going to: acquaintance, Jan Sowa, 1027 13 Str,
RD, Ambridge, Pa; in prison-no; polygamist-no; anarchist-no; promise of work?-no;
health-good; crippled-no; height: 5'2"; complex-fair; hair-blk; eyes-br; marks of ID-
no; place of birth: Galicia, Gorlice
1261 Ciez, Zofia, 18y, female, single, maid serv; can read/write; nat: Austria; race:
Polish; last resi: Galicia, Kasinka m; relative: aunt, Wikta Kucharzak, Kasinka mala,
Galicia; final dest: Ill-Chicago; tkt?-yes; passage pd by self; has $23; in US before?-
no; going to: uncle, Blazej Kucharzak, 4607 Laflin Str, Chicago, Ill; in prison-no;
polygamist-no; anarchist-no; promise of work?-no; health-good; crippled-no; height:
4'11"; complex-fair; hair-bld eyes-br; marks of ID-no; place of birth: Galicia,
Kasinka
1262 Percz, Maria, 20y, female, single, maid serv; can read/write; nat: Austria; race:
Polish; last resi: Galicia, Iwkowa; relative: mother, Katarzyna Percz, Iwkowa,
Galicia; final dest: Ill-Chicago; tkt?-yes; passage pd by self; has $20; in US before?-
no; going to: brother-in-law, Jozef Stachon, 953 W Chicago Ave, Chicago, Ill; in
prison-no; polygamist-no; anarchist-no; promise of work?-no; health-good; crippled-
no; height: 4'11"; complex-fair; hair-br; eyes-br; marks of ID-no; place of birth:
Galicia, Iwkowa (above occupation column are the numbers 4-275067 4/8/41. See also
#1171 and 1172)
1263 Steuke, Emilie, 28y, female, single, maid serv; can't read/write; nat: Russia; race:
German; last resi: Russia, Osowke; relative: father, Paul Steuke, Osowke, Russia;
final dest: NJ-Jersey City; tkt?-no; passage pd by self; has $18; in US before?-no;
going to: cousin, Rudolf Schmidt, 304 Halliday Str, Jersey City, NJ; in prison-no;
polygamist-no; anarchist-no; promise of work?-no; health-good; crippled-no; height:
5'1"; complex-fair; hair-bld; eyes-gr; marks of ID-no; place of birth: Russia,
Osowke (this person was detained; see Detained Alien List, pg. 42, #7)
1264 Fleischman, Netti, 38y, female, married, housewife; can read/write; nat: Hungary;
race: Hebrew; last resi: NY-Brooklyn; relative: father, Samuel Rothman, Rakocz, Zpl,
Hungary; final dest: New York; tkt?-yes; passage pd by self; has $17; in US before?-
yes, 1890-1910, Brooklyn, NY; going to: husb, David Fleischman, 35 ??????ons Pl,
Brooklyn, NY; in prison-no; polygamist-no; anarchist-no; promise of work?-no; health-
good; crippled-no; height: 5'4"; complex-fair; hair-bld; eyes-gr; marks of ID-no;
place of birth: Hungary, Rackocz ("non-immigrant alien" stamped over place of
last resi)
This passenger was detained, click here for further information,
1265 Fleischman, Anna, 4y, female, single, no occupation; can't read/write; nat: US Cit;
last resi: NY-Brooklyn; relative: grandfather, Samuel Rothman, (same address as
#1264); final dest: New York; tkt?-yes; passage pd by mother; $ (w/1264); in US
before?-US Born; going to: father (same as #1264); in prison-no; polygamist-no;
anarchist-no; promise of work?-no; health-good; crippled-no; height: (no entry);
complex-fair; hair-bld; eyes-br; marks of ID-no; place of birth: Hungary, Rakocz
(this may be in error - she is listed as being a US Citizen)
1266 Komaz, Andreas, 52y, male, single, miner (something written over, but can't be read);
can read/write; nat: Austria; race: German; last resi: Coastland, Unterbreth;
relative: mother, Anna Komaz, Unter Breth, Coastland; final dest: Ill-Peoria; tkt?-
yes; passage pd by self; has $15; in US before?-no; going to: brother-in-law,
John Mlakus, 2917 S Adams Str, Peoria, Ill; in prison-no; polygamist-no; anarchist-no;
promise of work?-no; health-good; crippled-no; height: 5'10"; complex-fair; hair-
gr; eyes-gr; marks of ID-no; place of birth: Austria, Breth ("SI" is written and
"admitted" is stamped over the passenger number. This passenger was held for special
inquiry; see Special Inquiry List, pg. 43, #29)
This passenger was held for special inquiry, click here for further information,
1267 Jakel, Andeas, 25y, male, single, miner; can read/write; nat: Austria; race: German;
last resi: Coastland, Breth; relative: mother, Maria Jakel, Breth; final dest: Ill-
Peoria; tkt?-yes; passage pd by self; has $17; in US before?-no; going to: brother,
Anton Jakel, 2917 Adams Str, Peoria, Ill; in prison-no; polygamist-no; anarchist-no;
promise of work?-no; health-good; crippled-no; height: 5'7"; complex-fair; hair-br;
eyes-br; marks of ID-no; place of birth: Austria, Breth ("SI" is written and "admitted"
is stamped over the passenger number. This passenger was held for special inquiry; see
Special Inquiry List, pg. 43, #30)
This passenger was held for special inquiry, click here for further information,
1268 Fellenz, Magdalena, 36y, female, married, cook (something written over, but can't be
read); can read/write; nat: Hungary; race: German; last resi: Hungary, Temesvar;
relative: sister-in-law, Eva Fellenz, Nagy Gyorgyg, Temesvar, Hungary; final dest: NJ-
Hoboken; tkt?-yes; passage pd by self; has $25; in US before?-no; going to: brother-
in-law, Georg Siprak, 356 Fourth Str, Hoboken, NJ; in prison-no; polygamist-no;
anarchist-no; promise of work?-no; health-good; crippled-no; height: 4'11"; complex-
fair; hair-bld; eyes-br; marks of ID-no; place of birth: Hungary, Temesvar ("SI" is
written and "admitted" is stamped over the passenger number. This passenger was held
for special inquiry; see Special Inquiry List, pg. 43, #39)
This passenger was held for special inquiry, click here for further information,
1269 Keller, Magdalena, 42y, female, widow, housewife; can read/write; nat: Hungary; race:
Germany; last resi: Hungary, Janosfala; relative: father, Lorenz Biber, Pardany,
Hungary; final dest: Mich-Wyandotte; tkt?-yes; passage pd by self; has $200; in US
before?-no; going to: cousin, Helena Csanowicz, 186 5th Str, Wyandotte, Mich; in
prison-no; polygamist-no; anarchist-no; promise of work?-no; health-good; crippled-
no; height: 4'9"; complex-fair; hair-br; eyes-gr; marks of ID-no; place of birth:
Hungary, Janosfala (see also #1069 - same destination address)
1270 Keller, Anna, 17y, female, single, servant; can read/write; nat: Hungary; race: German;
last resi: Hungary, Janosfala; relative: (same as #1269); final dest: Mich-Wyandotte;
tkt?-yes; passage pd by mother; $ (w/#1269); in US before?-no; going to: (same as
#1269); in prison-no; polygamist-no; anarchist-no; promise of work?-no; health-good;
crippled-no; height: 5'0"; complex-fair; hair-bld; eyes-br; marks of ID-no; place of
birth: Hungary, Janosfala
1271 Keller, Magdalena, 16y, female, single, servant; can read/write; nat: Hungary; race:
German; last resi: Hungary, Janosfala; relative: (same as #1269); final dest: Mich-
Wyandotte; tkt?-yes; passage pd by mother; $ (w/#1269); in US before?-no; going to:
(same as #1269); in prison-no; polygamist-no; anarchist-no; promise of work?-no; health-
good; crippled-no; height: 5'1"; complex-fair; hair-bld; eyes-br; marks of ID-no; place
of birth: Hungary, Janosfala
1272 Keller, Johann, (age is unclear. '14' is written there, but something seems to be
written over), male, single, no occupation; can read/write; nat: Hungary; race:
German; last resi: Hungary, Janosfala; relative: (same as #1269); final dest: Mich-
Wyandotte; tkt?-yes; passage pd by mother; $ (w/#1269); in US before?-no; going to:
(same as #1269); in prison-no; polygamist-no; anarchist-no; promise of work?-no;
health-good; crippled-no; height: 4'5"; complex-fair; hair-bld; eyes-br; marks of ID-
no; place of birth: Hungary, Janosfala
1273 Keller, Elisabeth, 10y, female, single, no occupation; can read/write; nat: Hungary;
race: German; last resi: Hungary, Janosfala; relative: (same as #1269); final dest:
Mich-Wyandotte; tkt?-yes; passage pd by mother; $ (w/#1269); in US before?-no; going
to: (same as #1269); in prison-no; polygamist-no; anarchist-no; promise of work?-no;
health-good; crippled-no; height: 4'2"; complex-fair; hair-bld; eyes-br; marks of ID-
no; place of birth: Hungary, Janosfala
1274 Mroz, Joanna, 21y, female, married, housewife; can read/write; nat: Austria; race:
Polish; last resi: Galicia, Mencinka; relative: father, Jozef Koza, Mencinka, Galicia;
final dest: NH-Manchester; tkt?-no; passage pd by self; has $25; in US before?-yes.
1906-1909, Manchester, NH; going to: husband, Franc Mroz, 410 Central Str, Manchester,
NH; in prison-no; polygamist-no; anarchist-no; promise of work?-no; health-good;
crippled-no; height: 5'6"; complex-fair; hair-blk; eyes-br; marks of ID-no; place of
birth: Galicia, Mencinka
1275 Hojsik, Julia, 25y, female, married, housewife; can read/write; nat: Hungary; race:
Slovak; last resi: Hungary, Broczko; relative: father, Anton Kovac, Broczko, Nyitra m
Hungary; final dest: Ill-Chicago; tkt?-no; passage pd by self; has $60; in US before?-
yes, 1905-1909, Ill-Chicago; going to: husband, Mike Hojsik, 4800 Adam Str, Chicago,
Ill; in prison-no; polygamist-no; anarchist-no; promise of work?-no; health-good;
crippled-no; height: 5'0"; complex-fair; hair-blk; eyes-br; marks of ID-no; place of
birth: Hungary, Broczko
1276 Hojsik, Ferdinand, 6y, male, single, no occupation; can't read/write; nat: Hungary;
race: Slovak; last resi: Hungary, Broczko; relative: grandfather, Anton Kovac, Broczko,
Nyitra m Hungary; final dest: Ill-Chicago; tkt?-yes; passage pd by mother; $ (w/#1275);
in US before?-yes, 1905-1909, Chicago, Ill; going to: father (same address as #1275);
in prison-no; polygamist-no; anarchist-no; promise of work?-no; health-good; crippled-
no; height: (no entry); complex-fair; hair-bld; eyes-br; marks of ID-no; place of
birth: Hungary, Broczko
1277 Hojsik, Maria, 4y, female, single, no occupation; can't read/write; nat: Hungary; race:
Slovak; last resi: Hungary, Broczko; relative: grandfather, Anton Kovac, Broczko, Nyitra
m Hungary; final dest: Ill-Chicago; tkt?-yes; passage pd by mother; $ (w/#1275); in US
before?-yes, 1905-1909, Chicago, Ill; going to: father (same address as #1275); in
prison-no; polygamist-no; anarchist-no; promise of work?-no; health-good; crippled-
no; height: (no entry); complex-fair; hair-bld; eyes-br; marks of ID-no; place of
birth: USA-Chicago, Ill
1278 Hojsik, Agnes, 3y, female, single, can't read/write; nat: Hungary; race: Slovak; last
resi: Hungary, Brozko; relative: grandfather, Anton Kovac, Broczko, Nyitra m Hungary;
final dest: Ill-Chicago; tkt?-yes; passage pd by mother; $ (w/#1275); in US before?-
yes, US Born; going to: in prison-no; polygamist-no; anarchist-no; promise of work?-
no; health-good; crippled-no; height: (no entry); complex-fair; hair-bld; eyes-br; marks
ofID-no; place of birth: USA-Chicago, Ill
1279 Hojsik, Stefan, 9m, male, single, no occupation; can't read/write; nat: Hungary; race:
Slovak; last resi: Hungary, Broczko; relative: grandfather, Anton Kovac, Broczko, Nyitra
m Hungary; final dest: Ill-Chicago; tkt?-yes; passage pd by mother; $ (w/#1275); in US
before?-yes, US Born; going to: father (same address as #1275); in prison-no;
polygamist-no; anarchist-no; promise of work?-no; health-good; crippled-no; height:
(no entry); complex-fair; hair-bld; eyes-gr; marks of ID-no; place of birth: USA-
Chicago, Ill
1280* Tronecik, Marie, 23y, female, single, servant; can read/write; nat: Austria; race:
Bohemian; last resi: Moravia, Hrabuvka; relative: father, Jos. Troncek, Hrabbuvka,
Mor; final dest: NY-New York; tkt?-yes; passage pd by self; has $30; in US before?-no;
going to: brother, Ant. Tronecek, 54 ???? Str, New York; in prison-no; polygamist-no;
anarchist-no; promise of work?-no; health-good; crippled-no; height: 5'3"; complex-
fair; hair-bld; eyes-gr; marks of ID-no; place of birth: Moravia, Hrabuvka
This passenger was detained, click here for further information,
1281 Brno, Jan, 17y, male, single, farm laborer; (can't see if he can read/write); nat:
Hungary; race: Slovak; last resi: Hungary, Onor; relative: mother, Maria Brno, Onor,
Nyitra m Hungary; final dest: NY-New York; tkt?-yes; passage pd by self; has $13; in US
before?-no; going to: brother, Gaspar Brno, Bejt Ave, New York; in prison-no;
polygamist-no; anarchist-no; promise of work?-no; health-good; crippled-conj foll; (no
further info is provided and this entry is crossed out across all columns; he probably
did not make the voyage)
1282* Wegrzyniak, Maryanna, 29y, female, married, housewife; can read/write; nat-Austria;
race-Polish; last resi: US-Windber (written over Gleczarow); relative: father, Jendrzej
Fadkocz, Gleczarow, Galicia; final dest: Pa-Windber; tkt?-yes; passage pd by self; has
$26; in US before?-no; going to: husband, Jozef Wegrziniak, Windber, Pa; in prison-no;
polygamist-no; anarchist-no; promise of work?-no; health-good; crippled-no; height:
5'3"; complex-fair; hair-bld; eyes-gr; marks of ID-no; place of birth: Galicia,
Gleczarow ("non-immigrant alien" stamped over place of last resi)
1283 Wegrzyniak, Agnieska, 7y, female, single, no occupation; can't read/write; nat-Austria;
race-Polish; last resi: US-Windber (written over Gleczarow; relative: father, Jendrzej
Fadkova, Gleczarow, Galicia; final dest: Pa-Windber; tkt?-yes; passage pd by mother;
$ (w/#1282); in US before?-no; going to: father, Jozef Wegrziniak, Windber, Pa; in
prison-no; polygamist-no; anarchist-no; promise of work?-no; health-good; crippled-no;
height: (no entry); complex-fair; hair-bld; eyes-gr; marks of ID-no; place of birth:
Galicia, Gleczarow
1284 Palidor, Aniela, 19y, female, single, servant; can read/write; nat-Austria; race-
Polish; last resi: Galicia, Poronim; relative: father, Jan Palidor, Poronim, Galicia;
final dest: Pa-Windber; tkt?-yes; passage pd by self; has $40; in US before?-no; going
to: brother-in-law, Franciszek Galica, Windber, Pa; in prison-no; polygamist-no;
anarchist-no; promise of work?-no; health-good; crippled-no; height: 4'10"; complex-
fair; hair-br; eyes-br; marks of ID-no; place of birth: Galicia, Poronim
1285 Pavlikowski, Jozef, 17y, male, farm laborer; can read/write; nat: Austria; race:
Polish; last resi: Galicia, Malecicke; relative: father, Ludwik Pavlikowski,
Malecicke, Galicia; final dest: Ill-Chicago; tkt?-yes; passage pd by self; has $25; in
US before?-no; going to: uncle, Franciszek Chowaniec, 4548 Justin Str, Chicago, Ill;
in prison-no; polygamist-no; anarchist-no; promise of work?-no; health-good; crippled-
no; height: 5'10"; complex-fair; hair-br; eyes-br; marks of ID-no; place of birth:
Galicia, Malecicke
1286 Pavlikowski, Jozef, 17y, male, single, farm laborer; can read/write; nat-Austria;
race: Polish; last resi: Galicia, Mewzasickle; relative: mother, Maryanna Pavlikowski,
Mewzasickle, Galicia; final dest: W Va-Gary; tkt?-yes; passage pd by self; has $25; in
US before?-no; going to: brother-in-law, Ludwick Gal, 7 Ebert Str, Gary, W Va; in
prison-no; polygamist-no; anarchist-no; promise of work?-no; health-good; crippled-
no; height: 5'5"; complex-fair; hair-br; eyes-bl; marks of ID-no; place of birth:
Galicia, Mewzasickle
1287 Zeglin, Wojciech, 18y, male, single, farm laborer; can read/write; nat-Austria; race:
Polish; last resi: Galicia, Bialy Dunajec; relative, father, Jan Zeglin, Bialy
Dunajec, Galicia; final dest: W Va-Gary; tkt?-yes; passage pd by self; has $25; in US
before?-no; going to: Ludwick Gal, 7 Ebert Str, Gary, W Va (this is a ditto to above
entry; it is not certain if this person is a brother-in-law to this passenger also);
in prison-no; polygamist-no; anarchist-no; promise of work?-no; health-good; crippled-
no; height: 5'6"; complex-fair; hair-br; eyes-bl; marks of ID-no; place of birth:
Galicia, Bialy Dunajec
1288 Voigt, Carl, 48y, male, married, farmer; can read/write; nat: Austria; race: German;
last resi: USA-Daisy; relative: (no address); final dest: La-Daisy; tkt?-no; passage pd
by self; has $20; in US before?-no; going home to Daisy, La; in prison-no; polygamist-
no; anarchist-no; promise of work?-no; health-good; crippled-no; height: 5'7"; complex-
fair; hair-grey; eyes-blue; marks of ID-no; place of birth: Germany, Lichtenau
(above column regarding marks of ID, is written: "US Citizen"; however, "non-immigrant
alien" stamped over place of last resi)
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.
#1259 Surname differs from what is recorded on the Special Inquiry List. Although
that list is typed, the manifest lister seems to clearly indicate that the
middle letter is a "u", by drawing a line under it, a practice that he has
done with other names.
#1282 Passenger's surname is spelled differently from that of the husband in the US.
Both are transcribed as seen.
National Archives and Records Administration, Film T715. Reel; 160-5, 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
16 June 2004
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