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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.
1043 Gancavz, Marya
1044 Tefferberg, Debora
1045 Tefferberg, Lisa
1046 Tefferberg, Freida PASSENGERS #1043 - 1046 ARE STEERAGE PASSENGERS
1043 Gancavz, Marya; 17 yrs; F; S; Servant Read/Write: Y/Y; Nationality: Russia; Race or People: Polish Last Perm Res Country, City: Russia, Borek Nearest Rel: Father Miabai Goncavz Borek 46 Jedlieze Kovno Final Dest: Mass, Lowell; Ticket: Y; Passage by: Self $50 or more: $30; US Before: No Going To: Brother in law Stanislaw Y??? 165 Lakeview Ave. Lowell Mass Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. 5 ft 6 inches Complexion/Hair/Eyes: Fair/Brown/Blue; Ident: None Birthplace Country, City: Russia, Borek
1044 Tefferberg, Debora; 29 yrs; F; M; Hwife Read/Write: Y/Y; Nationality: Russia; Race or People: Heb Last Perm Res Country, City: France, Paris, 8 years Nearest Rel: Friend Bakretor Hotel St Clair Passage Bospores p Paris Final Dest: Mass, Boston; Ticket: Y; Passage by: Husband $50 or more: $25; US Before: No Going To: Husband Schaje Teffenberg 9 Minot St. Boston Mass Prison/Polygamist/Anarchist/Job Offer: N/N/N/N Health: Good; Deformed: N; Hgt. 5 ft 2 inches Complexion/Hair/Eyes: Fair/Brown/Grey; Ident: None Birthplace Country, City: Russia, Vorsovie
1045 Tefferberg, Lisa; 6 yrs; F; S; Child Read/Write: N/N; Nationality: Russia; Race or People: Heb Last Perm Res Country, City: France, Paris Nearest Rel: Final Dest: Mass, Boston; Ticket: Y; Passage by: Father $50 or more: -; US Before: No Going To: Father Schaje Teffenberg 9 Minot St. Boston 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: France, Paris
1046 Tefferberg, Freida; 3 1/2 yrs; F; S; Child Read/Write: N/N; Nationality: Russia; Race or People: Heb Last Perm Res Country, City: France, Paris Nearest Rel: Final Dest: Mass, Boston; Ticket: Y; Passage by: Father $50 or more: -; US Before: No Going To: Father Schaje Teffenberg 9 Minot St. Boston 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: France, Paris
National Archives and Records Administration, Film T843, Reel 191.
Transcribed by David Rosen a member of the
Immigrant Ships Transcribers Guild
24 November 2005
World Vital Records - An Affordable Option
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