Immigrant Ships
Transcribers Guild

SS Carpathia


Page 37 of 45

Departing Liverpool, England 6 March 1913
Departing Queenstown, Ireland 7 March 1913
Arriving Boston, Massachusetts 17 March 1913

AFFIDAVIT OF THE MASTER OR COMMANDING OFFICER, OR FIRST OR SECOND OFFICER

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
AFFIDAVIT OF SURGEON

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.

911 Terechowitz, Victoria
912 Terechowitz, Victor
913 Nowik, Iwan
914 Nowik, Wasely
915 Schmintz, Nachman
916 Mitzkewiyz, Andrei
917 Bondarewitz, Wasely
918 Pochlebaew, Michael
919 Toupulajew, Vicenty
920 Stankewitz, Nicolai
921 Balaschew, Jacob
922 Philipow, ?ndratz
923 Philipow, Alexei
924 Plechanow, Anton
925 Wetchzon, Mery
926 Wetchzon, Diase
927 Wetchzon, Perl
928 Wetchzon, Rafael
929 Wetchzon, Georg
930 Wetchzon, Sore
931 Wetchzon, Berel
932 Kulikow, Dmitry
933 Thachew, Alexey PASSENGERS #911 - 933 ARE STEERAGE PASSENGERS
911 Terechowitz, Victoria; 32 yrs; F; M; Hwife Read/Write: Y/Y; Nationality: Russian; Race or People: Polish Last Perm Res Country, City: Russia, Dobelsky Nearest Rel: Bro Ralph Terechowitz ??usk Mali Minsk Gub Final Dest: Mass, Cambridge; Ticket: N; Passage by: Husband $50 or more: $5; US Before: No Going To: Husband Antoni Tereschewitz 719 Main St. Cambridge Mass Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. 5 ft 4 inches Complexion/Hair/Eyes: Dk/Black/Brown; Ident: None Birthplace Country, City: Russia, Debelky
912 Terechowitz, Victor; 7 yrs; M; S; Child Read/Write: N/N; Nationality: Russian; Race or People: Polish Last Perm Res Country, City: Russia, Dobelsky Nearest Rel: Uncle Ralph Terechowitz ??usk Mali Minsk Gub Final Dest: Mass, Cambridge; Ticket: N; Passage by: Father $50 or more: -; US Before: No Going To: Father Antoni Tereschewitz 719 Main St. Cambridge Mass Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. - ft - inches Complexion/Hair/Eyes: -/-/-; Ident: None Birthplace Country, City: Russia, Debelky
913 Nowik, Iwan; 25 yrs; M; S; Farm Laborer Read/Write: Y/Y; Nationality: Russian; Race or People: Russian Last Perm Res Country, City: Russia, Borki Nearest Rel: Father Anton Novick Borki Grodno Final Dest: Ind, Mishawaka; Ticket: Y; Passage by: Self $50 or more: $25; US Before: No Going To: Friend Balline Nowak 807 E. Boskydell St. Mishawaka Ind Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. 5 ft 4 1/2 inches Complexion/Hair/Eyes: Dk/Black/Brown; Ident: None Birthplace Country, City: Russia, Borki
914 Nowik, Wasely; 28 yrs; M; M; Farm Laborer Read/Write: Y/Y; Nationality: Russian; Race or People: Russian Last Perm Res Country, City: Russia, Borki Nearest Rel: Wife Sofia Nowick Borki Final Dest: Ind, Mishawaka; Ticket: Y; Passage by: Self $50 or more: $25; US Before: No Going To: Friend Balline Nowak 807 E. Boskydell St. Mishawaka Ind Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. 5 ft 4 inches Complexion/Hair/Eyes: Dk/Black/Brown; Ident: None Birthplace Country, City: Russia, Borki
915 Schmintz, Nachman; 26 yrs; M; M; Lab. Read/Write: N/N; Nationality: Russian; Race or People: Hebrew Last Perm Res Country, City: Russia, Horodnew Nearest Rel: Wife Sore Schmintz Horodnew Minsk Final Dest: Mass, Boston; Ticket: Y; Passage by: Self $50 or more: $15; US Before: No Going To: Bro in law Sam Pickman 135 Havre St Boston Mass Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. 5 ft 8 inches Complexion/Hair/Eyes: Dk/Black/Brown; Ident: None Birthplace Country, City: Russia, Horodnea
916 Mitzkewiyz, Andrei; 27 yrs; M; M; Carpenter Read/Write: Y/Y; Nationality: Russian; Race or People: Russian Last Perm Res Country, City: Russia, Lpruvani Nearest Rel: Wife Anna Mitzkewitz Lichow Russia Final Dest: Me, Oldtown; Ticket: N; Passage by: Self $50 or more: $25; US Before: No Going To: Friend Paul Stanton PO 246 Oldtown Maine Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. 5 ft 8 inches Complexion/Hair/Eyes: Dk/Black/Brown; Ident: None Birthplace Country, City: Russia, Lichow
917 Bondarewitz, Wasely; 24 yrs; M; S; Laborer Read/Write: Y/Y; Nationality: Russian; Race or People: Russian Last Perm Res Country, City: Russia, Lpruvani Nearest Rel: Farhter Parvel Bondarewitz Jankonitz Russia Final Dest: Me, Oldtown; Ticket: N; Passage by: Self $50 or more: $40; US Before: No Going To: Friend Paul Stanton PO 246 Oldtown Maine Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. 5 ft 10 inches Complexion/Hair/Eyes: Dk/Black/Brown; Ident: None Birthplace Country, City: Russia, Jakowitz
918 Pochlebaew, Michael; 23 yrs; M; M; Farm Laborer Read/Write: Y/Y; Nationality: Russian; Race or People: Russian Last Perm Res Country, City: Russia, O??? Nearest Rel: Wife Trasvowie Pochleshalim O??? Final Dest: Ohio, Bedford; Ticket: Y; Passage by: Self $50 or more: $25; US Before: No Going To: Friend Konrad Zolom PO Bedford Ohio Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. 5 ft 4 inches Complexion/Hair/Eyes: Dk/Black/Brown; Ident: None Birthplace Country, City: Russia, O???
919 Toupulajew, Vicenty; 18 yrs; M; S; Tailor Read/Write: Y/Y; Nationality: Russian; Race or People: Polish Last Perm Res Country, City: Russia, Birzchen Nearest Rel: Father Joseph Trupaljew Birzchen Konrueka Gub Final Dest: Mass, Saugus Center; Ticket: N; Passage by: Self $50 or more: $25; US Before: No Going To: Friend Felix Mison 237 Central St Saugus Center Mass Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. 5 ft 3 inches Complexion/Hair/Eyes: Dk/Brown/Blue; Ident: None Birthplace Country, City: Russia, Birschen
920 Stankewitz, Nicolai; 34 yrs; M; M; Carpenter Read/Write: Y/Y; Nationality: Russian; Race or People: Russian Last Perm Res Country, City: Russia, Spraschen Nearest Rel: Wife Praskewa Stankewitz Spraschen Grodno Final Dest: Me, Oldtown; Ticket: N; Passage by: Self $50 or more: $25; US Before: No Going To: Friend Paul Stanton PO 246 Oldtown Maine Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. 5 ft 6 inches Complexion/Hair/Eyes: Dk/Black/Blue; Ident: None Birthplace Country, City: Russia, Lichow
921* Balaschew, Jacob; 28 yrs; M; M; Laborer Read/Write: Y/Y; Nationality: Russian; Race or People: Russian Last Perm Res Country, City: Russia, Vaolino Gib Nearest Rel: Wife Dorine Balaschew Vaolino Spraschen Grodno Final Dest: Mich, Detroit; Ticket: Y; Passage by: Self $50 or more: $1.50; US Before: No Going To: Friend ??? Kolikof 475 Hastings St Detroit Mich Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. 5 ft 7 inches Complexion/Hair/Eyes: Dk/Fair/Blue; Ident: None Birthplace Country, City: Russia, Volinia
922* Philipow, ?ndratz; 51 yrs; M; M; Laborer Read/Write: Y/Y; Nationality: Russian; Race or People: Russian Last Perm Res Country, City: Russia, Vaolino Nearest Rel: Wife Spanina Philipow Vaolino Spraschen Grodno Final Dest: Mich, Detroit; Ticket: Y; Passage by: Self $50 or more: $??; US Before: No Going To: Friend ??? Kolikof 475 Hastings St Detroit Mich Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. 5 ft 10 inches Complexion/Hair/Eyes: Dk/Grey/Blue; Ident: None Birthplace Country, City: Russia, Volinia
923* Philipow, Alexei; 37 yrs; M; M; Laborer Read/Write: Y/Y; Nationality: Russian; Race or People: Russian Last Perm Res Country, City: Russia, Vaolino Nearest Rel: Wife Omsin Philipow Vaolino Spraschen Grodno Final Dest: Mich, Detroit; Ticket: Y; Passage by: Self $50 or more: $9; US Before: No Going To: Friend ??? Kolikof 475 Hastings St Detroit Mich Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. 5 ft 8 inches Complexion/Hair/Eyes: Dk/Dk/Brown; Ident: None Birthplace Country, City: Russia, Volinia
924* Plechanow, Anton; 40 yrs; M; M; Laborer Read/Write: Y/Y; Nationality: Russian; Race or People: Russian Last Perm Res Country, City: Russia, Vaolino Nearest Rel: Wife Grifinia Plechanow Vaolino Spraschen Grodno Final Dest: Mich, Detroit; Ticket: Y; Passage by: Self $50 or more: $15; US Before: No Going To: Friend ??? Kolikof 475 Hastings St Detroit Mich Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. 5 ft 4 inches Complexion/Hair/Eyes: Dk/Dk/Brown; Ident: None Birthplace Country, City: Russia, Volinia
925* Wetchzon, Mery; 38 yrs; F; M; Housewife Read/Write: Y/Y; Nationality: Russian; Race or People: Hebrew Last Perm Res Country, City: Russia, Gomel Nearest Rel: None Final Dest: Ill, Chicago; Ticket: Y; Passage by: Husband $50 or more: $25; US Before: No Going To: Husband David Werchzon 3522 W 12 St Chicago Ill Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. 5 ft 4 inches Complexion/Hair/Eyes: Dk/Black/Brown; Ident: None Birthplace Country, City: Russia, Gomel
926* Wetchzon, Diase; 17 yrs; F; S; Domestic Read/Write: Y/Y; Nationality: Russian; Race or People: Hebrew Last Perm Res Country, City: Russia, Gomel Nearest Rel: None Final Dest: Ill, Chicago; Ticket: Y; Passage by: Father $50 or more: -; US Before: No Going To: Father David Werchzon 3522 W 72 St Chicago Ill Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. 5 ft 4 inches Complexion/Hair/Eyes: Dk/-/-; Ident: None Birthplace Country, City: Russia, Gomel
927* Wetchzon, Perl; 11 yrs; F; S; Nil Read/Write: Y/Y; Nationality: Russian; Race or People: Hebrew Last Perm Res Country, City: Russia, Gomel Nearest Rel: None Final Dest: Ill, Chicago; Ticket: Y; Passage by: Father $50 or more: -; US Before: No Going To: Father David Werchzon 3522 W 72 St Chicago Ill Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. - ft - inches Complexion/Hair/Eyes: -/-/-; Ident: None Birthplace Country, City: Russia, Gomel
928* Wetchzon, Rafael; 9 yrs; M; S; Nil Read/Write: N/N; Nationality: Russian; Race or People: Hebrew Last Perm Res Country, City: Russia, Gomel Nearest Rel: None Final Dest: Ill, Chicago; Ticket: Y; Passage by: Father $50 or more: -; US Before: No Going To: Father David Werchzon 3522 W 72 St Chicago Ill Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. - ft - inches Complexion/Hair/Eyes: -/-/-; Ident: None Birthplace Country, City: Russia, Gomel
929* Wetchzon, Georg; 7 yrs; M; S; Nil Read/Write: N/N; Nationality: Russian; Race or People: Hebrew Last Perm Res Country, City: Russia, Gomel Nearest Rel: None Final Dest: Ill, Chicago; Ticket: Y; Passage by: Father $50 or more: -; US Before: No Going To: Father David Werchzon 3522 W 72 St Chicago Ill Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. - ft - inches Complexion/Hair/Eyes: -/-/-; Ident: None Birthplace Country, City: Russia, Gomel
930* Wetchzon, Sore; 4 yrs; F; S; Nil Read/Write: N/N; Nationality: Russian; Race or People: Hebrew Last Perm Res Country, City: Russia, Gomel Nearest Rel: None Final Dest: Ill, Chicago; Ticket: Y; Passage by: Father $50 or more: -; US Before: No Going To: Father David Werchzon 3522 W 72 St Chicago Ill Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. - ft - inches Complexion/Hair/Eyes: -/-/-; Ident: None Birthplace Country, City: Russia, Gomel
931* Wetchzon, Berel; 3 yrs; M; S; Nil Read/Write: N/N; Nationality: Russian; Race or People: Hebrew Last Perm Res Country, City: Russia, Gomel Nearest Rel: None Final Dest: Ill, Chicago; Ticket: Y; Passage by: Father $50 or more: -; US Before: No Going To: Father David Werchzon 3522 W 72 St Chicago Ill Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. - ft - inches Complexion/Hair/Eyes: -/-/-; Ident: None Birthplace Country, City: Russia, Gomel
932* Kulikow, Dmitry; 18 yrs; M; S; Farm Labor Read/Write: Y/Y; Nationality: Russian; Race or People: Russian Last Perm Res Country, City: Russia, Ynlylina Nearest Rel: Father J. Kulikow Ynlilina Final Dest: Mich, Detroit; Ticket: Y; Passage by: Brother $50 or more: $15; US Before: No Going To: Brother Vas?en Kulikow 475 Hastings Ave. Detroit Mich c/o ?checkla? Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. 5 ft 4 inches Complexion/Hair/Eyes: Dk/Black/Brown; Ident: None Birthplace Country, City: Russia, Majloi
933 Thachew, Alexey; 19 yrs; M; S; Farm Labor Read/Write: Y/Y; Nationality: Russian; Race or People: Russian Last Perm Res Country, City: Russia, Ryknescheka Nearest Rel: Mother Sara Thachew Ryknescheka Russia Final Dest: Minn, Minneapolis; Ticket: Y; Passage by: Father $50 or more: $15; US Before: No Going To: Father Abram Thakew 261 8th Ave Minneapolis Minn Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. 5 ft 4 inches Complexion/Hair/Eyes: -/-/-; Ident: None Birthplace Country, City: Russia, Rykuschka 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. 921 - 932 Detained for Special Inquiry. 922 & 923 Have "Hotel Lookouts" overwritten in the name column in different handwriting.

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National Archives and Records Administration, Film T843, Reel 191.
Transcribed by David Rosen a member of the
Immigrant Ships Transcribers Guild
28 October 2005



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