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SS Carpathia
I, Wm. Prothero Chief Officer of the Carpathia from Liverpool, 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 mental examination of each and all of the aliens named in the foregoing Lists or Manifest Sheets, 8 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 imbecile, or a feeble minded person, or insane person or a pauper, or is likely to become a public charge, or is affected 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 misdemeaner involving moral turpitude, or is a polygamist, or one admitting belief in the practice of polygamy, or an anarchist, or under promise or agreement, express or implied to perform labor in the United States as 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 Lists or Manifests concerning each of said aliens named herein is correct and true in every respect. Signed: Wm. Prothero Officer Sworn to me this ____ day of ____ 1913 Boston
I, Hubert M. Earle, Surgeon of the S/S "Carpathia" , Sailing Therewith do solemnly, sincerely and truly swear that I have had 20 years experience as a Physician and Surgeon and that I am entitled to practice as such by and under the authority MRCS Eng. LRCP London and that I have made a personal examination of the aliens named herein and that the foregoing Lists or Manifest Sheets, 8 in number, according to the best of my knowledge and belief, are full, correct, and true in all particulars, relative to the mental and physical condition of such aliens. Signed: Hubert M. Earle Sworn before me this ___ day of ____ 1913 at BOSTON
ALIENS
Columns represent:
1) No. on List
2) Name in Full (Family name, Given Name)
3) Age (Yrs, Mos)
4) Sex
5) Married/Single
6) Calling/Occupation
7) Able to read/write
8) Nationality (Country of which citizen/subject
9) Race or People
10) Last Permanent Residence (Country/City or Town)
11) The name and complete address of nearest relative or friend in country whence alien came
12) Final Destination (intended future permanent residence) State/City or town
13) No. on List; (Since this is the same passenger number as column 1, column 14 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 almshouse 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
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.
719 Kopituskow, Feige
720 Kopituskow, Dwoire
721 Kopituskow, Chaim
722 Kopituskow, Mendel
723 Zeichik, Benzion
724 Samodzewicz, Dorota
725 Cohn, Gittel
726 Buitkute, Polonia
727 Zotow, Feodor
728 Morosas, Josefa
729 Morosas, Witolo
730 Morosas, Jurgis
731 Weydt, Barend
732 Kuepeis, Geoben Germani PASSENGERS #719 - 732 ARE STEERAGE PASSENGERS
719 Kopituskow, Feige; 23 yrs F; M; HWife Read/Write: Y/Y; Nationality: Russia; Race or People: Hebrew Last Perm Res Country, City: Russia, Smila Nearest Rel: Father Jankel Goresteiin Smila Final Dest: Mass, Boston; Ticket: Y; Passage by: Husband $50 or more: $7; US Before: No Going To: Husband Pieritz Kopituskow 258 Washington St. Boston, Mass Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. 5 ft 2 inches Complexion/Hair/Eyes: dark/black/brown; Ident: none Birthplace Country, City: Russia, Smila
720* Kopituskow, Dwoire; 18 yrs F; S; Milliner Read/Write: Y/Y; Nationality: Russia; Race or People: Hebrew Last Perm Res Country, City: Russia, Smila Nearest Rel: Uncle Jankel Goresteiin Smila Final Dest: Mass, Boston; Ticket: Y; Passage by: Brother $50 or more: $3; US Before: No Going To: Brother Pieritz Kopituskow 258 Washington St. Boston, Mass Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. 5 ft 3 inches Complexion/Hair/Eyes: dark/black/brown; Ident: none Birthplace Country, City: Russia, Smila
721* Kopituskow, Chaim; 5 yrs M; S; Child Read/Write: N/N; Nationality: Russia; Race or People: Hebrew Last Perm Res Country, City: Russia, Smila Nearest Rel: Grandfather Jankel Goresteiin Smila Final Dest: Mass, Boston; Ticket: Y; Passage by: Father $50 or more: -; US Before: No Going To: Father Pieritz Kopituskow 258 Washington St. Boston, Mass Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. - ft - inches Complexion/Hair/Eyes: -/-/-; Ident: - Birthplace Country, City: Russia, Smila
722* Kopituskow, Mendel; 2 yrs M; S; Child Read/Write: N/N; Nationality: Russia; Race or People: Hebrew Last Perm Res Country, City: Russia, Smila Nearest Rel: Grandfather Jankel Goresteiin Smila Final Dest: Mass, Boston; Ticket: Y; Passage by: Father $50 or more: -; US Before: No Going To: Father Pieritz Kopituskow 258 Washington St. Boston, Mass Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. - ft - inches Complexion/Hair/Eyes: -/-/-; Ident: - Birthplace Country, City: Russia, Smila
723* Zeichik, Benzion; 18 yrs M; S; Pedler Read/Write: Y/Y; Nationality: Russia; Race or People: Hebrew Last Perm Res Country, City: Russia, Winograd Nearest Rel: Father Hersch Zeichik Winograd Final Dest: Mass, Boston; Ticket: Y; Passage by: Uncle $50 or more: $3; US Before: No Going To: Uncle Berl Zeichik 18 Revere St. Boston, Mass Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. 5 ft 6 inches Complexion/Hair/Eyes: dark/brown/brown; Ident: none Birthplace Country, City: Russia, Winograd
724 Samodzewicz, Dorota; 22 yrs F; S; Dressmaker Read/Write: Y/Y; Nationality: Russia; Race or People: Polish Last Perm Res Country, City: Russia, Sesiki Nearest Rel: Mother Anna Samodzewicz Sesiki Final Dest: Mass, Brighton; Ticket: N; Passage by: Bro. $50 or more: $25; US Before: No Going To: Brother Vincenty Samodzewicz 12 Waverly St. Brighton, Mass Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. 5 ft 5 inches Complexion/Hair/Eyes: dark/fair/blue; Ident: none Birthplace Country, City: Russia, Sesiki
725* Cohn, Gittel; 18 yrs F; S; Dressmaker Read/Write: Y/Y; Nationality: Russia; Race or People: Hebrew Last Perm Res Country, City: Russia, Augustow Nearest Rel: Uncle Pinchos Cohn Augustow Final Dest: Mass, Boston; Ticket: Y; Passage by: Father $50 or more: $3; US Before: No Going To: Father Mottel Cohn 26 Lancaster St. Boston, Mass Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. 5 ft 5 inches Complexion/Hair/Eyes: dark/brown/brown; Ident: none Birthplace Country, City: Russia, Augustow
726 Buitkute, Polonia; 20 yrs F; S; Servant Read/Write: N/N; Nationality: Russia; Race or People: Lithuanian Last Perm Res Country, City: Russia, Werepy Nearest Rel: Mother Maria Buitkote Werepy Final Dest: Mass, Haverhill; Ticket: Y; Passage by: Brother $50 or more: $7; US Before: No Going To: Brother Antinus Buietkote 2 Common Place Haverhill, Mass Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. 5 ft 2 inches Complexion/Hair/Eyes: dark/brown/brown; Ident: none Birthplace Country, City: Russia, Polonia
727* Zotow, Feodor; 20 yrs M; S; Farm laborer Read/Write: Y/Y; Nationality: Russia; Race or People: Russian Last Perm Res Country, City: Russia, Rogothina Nearest Rel: Father in law Iwan Zotow Rogothina Final Dest: Ohio, Bedford; Ticket: Y; Passage by: Self $50 or more: $25; US Before: No Going To: Friend Konrad Zotow P.O. Bedford Ohio Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. 5 ft 4 inches Complexion/Hair/Eyes: dark/black/brown; Ident: none Birthplace Country, City: Russia, Rogothin
728 Morosas, Josefa; 23 yrs F; M; HWife Read/Write: Y/Y; Nationality: Russia; Race or People: Lithuanian Last Perm Res Country, City: USA, Worcester, Mass Nearest Rel: Father in law Jan Morosas Serwiliszin Final Dest: Mass, Worcester; Ticket: Y; Passage by: Husband $50 or more: $10; US Before: 1905-1912, Worcester, Mass Going To: Husband Jurgin Morosas 2 Diamond St. Worcester, Mass Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. 5 ft 5 inches Complexion/Hair/Eyes: dark/brown/bblue; Ident: none Birthplace Country, City: Russia, Pohvosti
729 Morosas, Witolo; 4 yrs M; S; Child Read/Write: N/N; Nationality: USA; Race or People: Lithuanian Last Perm Res Country, City: USA, Worcester, Mass Nearest Rel: Grandfather Jan Morosas Serwiliszin Final Dest: Mass, Worcester; Ticket: Y; Passage by: Father $50 or more: -; US Before: Born US Going To: Father Jurgin Morosas 2 Diamond St. Worcester, Mass Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. - ft - inches Complexion/Hair/Eyes: -/-/-; Ident: - Birthplace Country, City: USA, Worcester, Mass
730 Morosas, Jurgis; 3 yrs M; S; Child Read/Write: N/N; Nationality: USA; Race or People: Lithuanian Last Perm Res Country, City: USA, Worcester, Mass Nearest Rel: Grandfather Jan Morosas Serwiliszin Final Dest: Mass, Worcester; Ticket: Y; Passage by: Father $50 or more: -; US Before: Born US Going To: Father Jurgin Morosas 2 Diamond St. Worcester, Mass Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. - ft - inches Complexion/Hair/Eyes: -/-/-; Ident: - Birthplace Country, City: USA, Worcester, Mass
731 Weydt, Barend; 31 yrs M; M; Cigar maker Read/Write: Y/Y; Nationality: Holland; Race or People: Dutch Last Perm Res Country, City: Holland, Amsterdam Nearest Rel: Wife Mrs. Weydt Poshendstadt Amsterdam Final Dest: NH, Manchester; Ticket: N; Passage by: Self $50 or more: $25; US Before: No Going To: Brother Wm. Weydt 273 Spruce St. Manchester, NH Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. 5 ft 2 inches Complexion/Hair/Eyes: dark/dark/brown; Ident: none Birthplace Country, City: Holland, Bergen op Zoon
732 Kuepeis, Geoben Germani; 38 yrs M; M; Cigar maker Read/Write: Y/Y; Nationality: Holland; Race or People: Dutch Last Perm Res Country, City: Holland, Amsterdam Nearest Rel: Wife Mrs. Kuepis 53I Benhestradt Amsterdam Final Dest: Mass, Boston; Ticket: Y; Passage by: Self $50 or more: $25; US Before: No Going To: Friend Evan Tacuk 699 Hanover St. Boston, Mass Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. 5 ft 6 inches Complexion/Hair/Eyes: dark/fair/blue; Ident: none Birthplace Country, City: Holland, Leeuwanda Transcriber's Notes: * An asterisk indicates an error on the part of the original recorder, not the transcriber, or calls attention to additional information in the transcriber notes. ? Question marks within the text indicate illegible handwriting or entries obscured by other markings. 720 "Sis-in-law" added in given name column. 721 "Son" added in given name column. 722 "Son" added in given name column. 723, 725, 727 Detained for Special Inquiry
National Archives and Records Administration, Film T843, Reel 191.
Transcribed by David Rosen a member of the
Immigrant Ships Transcribers Guild
26 September 2005
World Vital Records - An Affordable Option
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