SS Fort Victoria
AFFIDAVIT OF THE MASTER OR COMMANDING OFFICER, OR FIRST OR SECOND OFFICER
I, Albert Francis Chief Officer of the S/S "Fort Victoria" 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, 4 in number, and that from the report of said surgeon and from my own investigation, I believe that no one of said aliens is of any of the classes excluded from admission into the United States by section three of the Immigration Act, and that also, to the best of my knowledge and belief, the information in said Lists or Manifests concerning each of said aliens named therein is correct and true in every respect. Signed: A. B. Francis Chief Officer Sworn to me this 23rd day of August, 1920 at Boston
AFFIDAVIT OF SURGEON
I, George Charters, Surgeon of the S/S "Fort Victoria" , Sailing Therewith do solemnly, sincerely and truly swear that I am entitled to practice as such by and under the authority of The Medical Department of the University of Tennessee, and that I have made a personal examination of the aliens named herein, and that the foregoing Lists or Manifest Sheets, 4 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: G.C. Charters Sworn before me this 23rd day of August, 1920 at BOSTON
US CITIZENS
Columns represent:
1) No. on list
2) Name in Full: Family Name, Given Name
3) Age Yrs, Mos.
4) Sex
5) Married or Single
6) If Native of United States insular possession or if native of United States , give date and place of birth (city or town and state)
7) If naturalized, give name and location of court which issued naturalization papers and date of papers.
8) Address in United States
31 Hughes, Katherine 32 Hartlove, Dwight Davidson 33 Hartlove, Annie Meacham 34 Jones, Paul 35 Kirkland, John Wilkinson 36 Kirkland, Elena 37 Kirkland, Joseph 38 Kirkland, Esther 39 Kirkland, Irene 40 Kirkland, John 41 Kirkland, Theodore 42 Keighley, Eliza 43 Lowe, Margaret 44 Lakin, Susie Gilbert 45 Merriman, Roger B. 46 Merriman, Dorothea B. 47 Marsden, Isobel 48 Marsden, Dorothy 49 Meyers, Rhoda 50 Myers, Wentworth 51 Marshall, Louise 52 Marshall, Laura Winder 53 Marshall, Richard Coke 54 Meadowcroft, Josiah Mossuth 55 O'Brien, Julia A. 56 O'Conner, Estelle Genevieve 57 Piper, Alice Olive 58 Prentice, James 59 Prentice, Maud 60 Prentice, Seaton Lavey
31 Hughes, Katherine Age: 42 Yrs, 5 Mos. Sex: F Married/Single: M Date & Place of Naturalization: Husband U.S. Citizen US Address: El Cerritto, Contra Costa Co. Cal.
32 Hartlove, Dwight Davidson Age: 45 Yrs, - Mos. Sex: M Married/Single: M Date & POB: 11th March 1875, Baltimore, Md. US Address: 1601 Eutaw Place, Baltimore, Md.
33 Hartlove, Annie Meacham Age: 42 Yrs, - Mos. Sex: F Married/Single: M Date & POB: 31st May 1878, Baltimore, Md. US Address: 1601 Eutaw Place, Baltimore, Md.
34 Jones, Paul Age: 39 Yrs, 8 Mos. Sex: M Married/Single: M Date & POB: 24th Nov. 1880 Wilkes-Barre, Pa. US Address: 43 Lincoln Place, Orange, N.J.
35 Kirkland, John Wilkinson Age: 51 Yrs, 10 Mos. Sex: M Married/Single: M Date & POB: Chicago 22nd Oct. 1868 US Address: c/o International Gen. Elect. Co. 120 Broadway, New York.
36 Kirkland, Elena Age: 46 Yrs, 11 Mos. Sex: F Married/Single: M Date & Place of Naturalization: Husband U.S. Citizen c/o International Gen. Elect. Co. 120 Broadway, New York.
37 Kirkland, Joseph Age: 15 Yrs, 10 Mos. Sex: M Married/Single: S Date & Place of Naturalization: Father U.S. Citizen US Address: c/o International Gen. Elect. Co. 120 Broadway, New York.
38 Kirkland, Esther Age: 14 Yrs, 2 Mos. Sex: F Married/Single: S Date & Place of Naturalization: Father U.S. Citizen US Address: c/o International Gen. Elect. Co. 120 Broadway, New York.
39 Kirkland, Irene Age: 12 Yrs, 10 Mos Sex: F Married/Single: S Date & Place of Naturalization: Father U.S. Citizen US Address: c/o International Gen. Elect. Co. 120 Broadway, New York.
40 Kirkland, John Age: 9 Yrs, 10 Mos. Sex: M Married/Single: S Date & Place of Naturalization: Father U.S. Citizen US Address: c/o International Gen. Elect. Co. 120 Broadway, New York.
41 Kirkland, Theodore Age: 8 Yrs, 9 Mos. Sex: M Married/Single: S Date & Place of Naturalization: Father U.S. Citizen US Address: c/o International Gen. Elect. Co. 120 Broadway, New York.
42 Keighley, Eliza Age: 44 Yrs, - Mos. Sex: F Married/Single: M Date & Place of Naturalization: Husband U.S. Citizen US Address: 39 Dorchester Ave, Providence, R.I.
43* Lowe, Margaret Age: 55 Yrs, - Mos. Sex: F Married/Single: W Date & Place of Naturalization: Court of Common Police Bristol Co. Fall River Mass. 17th Nov. 1892 US Address: 367 S. Main Street, Fall River, Mass.
44 Lakin, Susie Gilbert Age: 38 Yrs, 2 Mos. Sex: F Married/Single: S Date & POB: May 30th 1882, Dorchester, Mass. US Address: 37 quincy Street, Roxbury, Mass.
45 Merriman, Roger B. Age: 44 Yrs, 2 Mos. Sex: M Married/Single: M Date & POB: May 24th 1876, Boston, Mass. US Address: 175 Brattle St. Cambridge, Mass.
46 Merriman, Dorothea B. Age: 39 Yrs, 8 Mos. Sex: F Married/Single: M Date & POB: Nov. 3rd 1880, Boston. Mass. US Address: 175 Brattle St. Cambridge, Mass.
47 Marsden, Isobel Age: 42 Yrs, - Mos. Sex: F Married/Single: M Date & Place of Naturalization: Police Court New Bedford, Bristol County, 3rd June 1912 US Address: Pearl Street, N. Dighton, Mass.
48 Marsden, Dorothy Age: 9 Yrs, - Mos. Sex: F Married/Single: S Date & POB: 18th Feb, 1911 N. Dighton, Mass. US Address: Pearl Street, N. Dighton, Mass.
49 Meyers, Rhoda Age: 27 Yrs, 3 Mos. Sex: F Married/Single: M Date & Place of Naturalization: Husband U.S. Citizen US Address: 203 Hobart St. Knoxville, Pa.
50 Myers, Wentworth Age: 21 Yrs, 7 Mos. Sex: M Married/Single: S Date & Place of Naturalization: Father U.S. Citizen US Address: c/o International Banking Corpn. 60 Wall St. New York
51 Marshall, Louise Age: 40 Yrs, 11 Mos. Sex: F Married/Single: M Date & POB: 21st Aug. 1879, Hampton, Va. US Address: 1708 S. Str. N.W. Washington, D.C.
52 Marshall, Laura Winder Age: 15 Yrs, - Mos. Sex: F Married/Single: S Date & POB: 1st October, 1905 Old Point, Va. US Address: 1708 S. Str. N.W. Washington, D.C.
53 Marshall, Richard Coke Age: 12 Yrs, - Mos. Sex: M Married/Single: S Date & POB: 18th Feb. 1908 Old Point, Va. US Address: 1708 S. Str. N.W. Washington, D.C.
54 Meadowcroft, Josiah Mossuth Age: 65 Yrs, - Mos. Sex: M Married/Single: W Date & Place of Naturalization: District Court of Boston, Mass. 1st April, 1890 US Address: 140 Magazine St. Cambridge, Mass.
55 O'Brien, Julia A. Age: 56 Yrs, 8 Mos. Sex: F Married/Single: S Date & POB: 16th Nov. 1864 Hartford, Conn. US Address: Merriden, Connecticut
56 O'Conner, Estelle Genevieve Age: 27 Yrs, 8 Mos. Sex: F Married/Single: S Date & POB: 12th Nov. 1892 Salem, Mass. US Address: Salem, Mass.
57 Piper, Alice Olive Age: 43 Yrs, 3 Mos. Sex: F Married/Single: S Date & Place of Naturalization: Husband U.S. Citizen US Adress: Cartref, South Sudbury, Mass.
58 Prentice, James Age: 59 Yrs, - Mos. Sex: M Married/Single: S Date & Place of Naturalization: District Court of Kimble Co., Texas. 9th November, 1914 US Address: Bois D'Arc Ranch, Junction, Texas
59 Prentice, Maud Age: 47 Yrs, - Mos. Sex: F Married/Single: S Date & POB: Junction Texas, 9th Sept. 1872 US Address: Bois D'Arc Ranch, Junction, Texas
60 Prentice, Seaton Lavey Age: 19 Yrs, - Mos. Sex: M Married/Single: M Date & POB: Junction Texas, 5th Nov. 1900 US Address: Bois D'Arc Ranch, Junction, Texas Transcriber's Notes: 43 "Court of Common Police" is probably a clerk's error and should be "Court of Common Pleas"
National Archives and Records Administration, Film T843, Reel 255.
Transcribed by David Rosen a member of the
Immigrant Ships Transcribers Guild
22 January 2004
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