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FIRST NAME

LAST NAME

I, Chas. Boettger, Captain of the S.S. Gdansk, from Danzig, do solemnly, sincerely and truly state 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 the aliens named in the foregoing Lists or Manifest Sheets, 13 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, according 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.

Sworn to me this 17 day of March, 1921
at Boston, Mass.

I, Ernest Hirrschoff, Surgeon of the S.S. Gdansk, sailing therewith, do solemnly and truly declare that I have had two years experience as a Physician and Surgeon, and that I am entitled to practice as such by and under the authority of the State of Delaware, and that I have made a personal examination of each of the aliens named herein, and that the foregoing Lists or Manifest Sheets, 13 in number, according to the best of my knowledge and belief, are full and correct, and true in all particulars, relative to the mental and physical condition of such aliens.

Sworn to me this 17 day of March, 1921
at Boston, Mass.

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.

22  Rittner, Malcia
23  Grofpen, Malka
24  Tabacznik, Elik
25  Klau, Salomon
26  Ojchenberg, Dawid
27  Chameides, Juel
28  Chameides, Zelig
29  Chameides, Ita
30  Kac (Katz), Lei Pesi
31  Kac (Katz), Icek
32  Braclawska, Szejwa
33  Sirota, Matel
34  Sirota, Ruchla
35  Basior, Czarna
36  Basior, Chaskel
37  Lindner, Fania

22  Rittner, Malcia;   50 yrs - mos;    M/F: F;   Marr/Sing: W
      Head Tax: Tax;   R/W: Y/Y;  Lang: jew;   Occ: Merchant
      Nationality: Poland;  Race: Hebrew;  Last perm res: Zadarow, Malopolska, Poland
      Nearest rel: Szpigiel, Zadarow, pow. Buczacki, Malopolska
      Dest: Brooklyn, USA;  Have ticket: Yes;  Pass. paid by: Self
      50$ or more: $10;   US before: No
      Joining: Harry Rittner (son) 160 Sofst Str. Brooklyn, New York
      Intend to return: No;  Lgth of stay: for ever;  Become citizen: Yes
      Crippled: No;   Hgt: 5 ft, 2 inches;   ID: No
      Complexion/Hair/Eyes: Fair/Dark/Brown;   POB: Buczscz Malapols, Poland

23  Grofpen, Malka;   18 yrs - mos;    M/F: F;   Marr/Sing: S
      Head Tax: Tax;   R/W: Y/Y;  Lang: Yiddish, Russian;   Occ: Dressmaker
      Nationality: Poland;  Race: Hebrew;  Last perm res: Krzemieniec, Poland
      Nearest rel: Ajzyk Choli (friend) Krzemieniec ul. Szeroka dom Galisa
      Dest: Boston, USA;  Have ticket: Yes;  Pass. paid by: Self
      50$ or more: $15;   US before: No
      Joining: Uncle Harry Brass, 87 Chambers St. Boston
      Intend to return: No;  Lgth of stay: for ever;  Become citizen: Yes
      Crippled: No;   Hgt: 5 ft, 4 inches;   ID: No
      Complexion/Hair/Eyes: Fair/Dark/Gray;   POB: Jampol, Poland

24  Tabacznik, Elik;   18 yrs - mos;    M/F: M;   Marr/Sing: S
      Head Tax: Tax;   R/W: Y/Y;  Lang: jew;   Occ: Merchant
      Nationality: Poland;  Race: Hebrew;  Last perm res: Warszawa, Poland
      Nearest rel: Taraban Jankiel (friend) Anopol ziemia Wolynska
      Dest: Boston, USA;  Have ticket: Yes;  Pass. paid by: Self
      50$ or more: $9;   US before: No
      Joining: Tabacznik Bene (brother) 107 Porter St. Boston U.S.A.
      Intend to return: No;  Lgth of stay: for ever;  Become citizen: Yes
      Crippled: No;   Hgt: 5 ft, 1 inches;   ID: No
      Complexion/Hair/Eyes: Fair/Black/Black;   POB: Anapolz. Wolynska, Poland

25  Klau, Salomon;   20 yrs - mos;    M/F: M;   Marr/Sing: S
      Head Tax: Tax;   R/W: Y/Y;  Lang: Yiddish, pole;   Occ: Journeyman mason
      Nationality: Poland;  Race: Hebrew;  Last perm res: Srtyj, Poland
      Nearest rel: Herman Klau (father), Stryj, Galicja Wschodnia Lwowska 22
      Dest: New York, USA;  Have ticket: Yes;  Pass. paid by: Self
      50$ or more: $18;   US before: No
      Joining: Morris Klau (uncle) 122 East 104 St. New York
      Intend to return: No;  Lgth of stay: for ever;  Become citizen: Yes
      Crippled: No;   Hgt: 5 ft, - inches;   ID: No
      Complexion/Hair/Eyes: Fair/Black/Brown;   POB: Stryj, Poland

26  Ojchenberg, Dawid;   20 yrs - mos;    M/F: M;   Marr/Sing: S
      Head Tax: Tax;   R/W: Y/Y;  Lang: jew;   Occ: Merchant
      Nationality: Poland;  Race: Hebrew;  Last perm res: Warszawa, Poland
      Nearest rel: Szymon Cybis (friend), Warszawa Nowolipie 50-46
      Dest: New York, USA;  Have ticket: Yes;  Pass. paid by: Self
      50$ or more: $20;   US before: No
      Joining: Klara Goldberg (sister) New York 364-E 10 St. City, U.S.A.
      Intend to return: No;  Lgth of stay: for ever;  Become citizen: Yes
      Crippled: No;   Hgt: 5 ft, - inches;   ID: No
      Complexion/Hair/Eyes: Fair/Brown/Gray;   POB: Deraznie z. Pol, Poland

27  Chameides, Juel;   43 yrs - mos;    M/F: M;   Marr/Sing: M
      Head Tax: Tax;   R/W: Y/Y;  Lang: jew hebrew;   Occ: Rabbi
      Nationality: Poland;  Race: Hebrew;  Last perm res: Rawa Ruska, Poland
      Nearest rel: Abram Freiheiter (brother-in-law) Rawa Ruska
      Dest: New York, USA;  Have ticket: Yes;  Pass. paid by: Self
      50$ or more: $-;   US before: No
      Joining: Jacob Moses Chameides (son) 496 Hendrix Str. Brooklyn, N. York
      Intend to return: No;  Lgth of stay: for ever;  Become citizen: Yes
      Crippled: No;   Hgt: 5 ft, 4 inches;   ID: No
      Complexion/Hair/Eyes: Midle/Fair/Brown;   POB: Niemerow, Poland

28  Chameides, Zelig;   11 yrs - mos;    M/F: M;   Marr/Sing: S
      Head Tax: Tax;   R/W: Y/Y;  Lang: jew;   Occ: With father
      Nationality: Poland;  Race: Hebrew;  Last perm res: Rawa Ruska, Poland
      Nearest rel: Abram Freiheiter (brother-in-law) Rawa Ruska
      Dest: New York, USA;  Have ticket: Yes;  Pass. paid by: Self
      50$ or more: $-;   US before: No
      Joining: Jacob Moses Chameides (son) 496 Hendrix Str. Brooklyn, N. York
      Intend to return: No;  Lgth of stay: for ever;  Become citizen: Yes
      Crippled: No;   Hgt: 4 ft, - inches;   ID: No
      Complexion/Hair/Eyes: Fair/Fair/Brown;   POB: Rymanow, Poland

29  Chameides, Ita;   40 yrs - mos;    M/F: F;   Marr/Sing: M
      Head Tax: Tax;   R/W: Y/Y;  Lang: jew;   Occ: With husband
      Nationality: Poland;  Race: Hebrew;  Last perm res: Rawa Ruska, Poland
      Nearest rel: Abram Freiheiter (brother-in-law) Rawa Ruska
      Dest: New York, USA;  Have ticket: Yes;  Pass. paid by: Self
      50$ or more: $-;   US before: No
      Joining: Jacob Moses Chameides (son) 496 Hendrix Str. Brooklyn, N. York
      Intend to return: No;  Lgth of stay: for ever;  Become citizen: Yes
      Crippled: No;   Hgt: 5 ft, 3 inches;   ID: No
      Complexion/Hair/Eyes: Fair/Black/Dark br;   POB: Rymanow, Poland

30  Kac (Katz), Lei Pesi;   28 yrs - mos;    M/F: F;   Marr/Sing: M
      Head Tax: Tax;   R/W: Y/Y;  Lang: jew;   Occ: Wife
      Nationality: Poland;  Race: Hebrew;  Last perm res: Niemirowo, Poland
      Nearest rel: Boruch Kac (brother) Niemerow ziemia Grodzienska
      Dest: Brooklyn, New York;  Have ticket: Yes;  Pass. paid by: Husband
      50$ or more: $60;   US before: No
      Joining: B. Cohen vel Kac/Katz (husband) 189 Snediker Av. Brooklyn, New York
      Intend to return: No;  Lgth of stay: for ever;  Become citizen: Yes
      Crippled: No;   Hgt: 5 ft, 4 inches;   ID: No
      Complexion/Hair/Eyes: Fair/Black/Black;   POB: Czerniowiec, Poland

31  Kac (Katz), Icek;   5 yrs - mos;    M/F: B;   Marr/Sing: S
      Head Tax: No;   R/W: Y/Y;  Lang: jew;   Occ: -
      Nationality: Poland;  Race: Hebrew;  Last perm res: Niemirowo, Poland
      Nearest rel: Boruch Kac (brother) Niemerow ziemia Grodzienska
      Dest: Brooklyn, New York;  Have ticket: Yes;  Pass. paid by: Father
      50$ or more: $-;   US before: No
      Joining: B. Cohen vel Kac/Katz (husband) 189 Snediker Av. Brooklyn, New York
      Intend to return: No;  Lgth of stay: for ever;  Become citizen: Yes
      Crippled: No;   Hgt: 4 ft, - inches;   ID: No
      Complexion/Hair/Eyes: Fair/Black/Black;   POB: Czerniowiec, Poland

32  Braclawska, Szejwa;   19 yrs - mos;    M/F: F;   Marr/Sing: S
      Head Tax: Tax;   R/W: Y/Y;  Lang: jew, pole;   Occ: Dressmaker
      Nationality: Poland;  Race: Hebrew;  Last perm res: Kupiel, na Wolyniu, Poland
      Nearest rel: Abram Knif (friend), Lwow. ul. Zygmuntowska 9
      Dest: New York, USA;  Have ticket: Yes;  Pass. paid by: Self
      50$ or more: $20;   US before: No
      Joining: Ben Sirota (uncle) Weinsten Hartford Conn. U.S.A.
      Intend to return: No;  Lgth of stay: for ever;  Become citizen: Yes
      Crippled: No;   Hgt: 5 ft, 2 inches;   ID: No
      Complexion/Hair/Eyes: Fair/Black/Brown;   POB: Kuznin ziem Wolynska, Poland

33  Sirota, Matel;   19 yrs - mos;    M/F: F;   Marr/Sing: S
      Head Tax: Tax;   R/W: Y/Y;  Lang: jew;   Occ: Dressmaker
      Nationality: Poland;  Race: Hebrew;  Last perm res: Bazali, Poland
      Nearest rel: Mojzesz Chudyk (friend) Warszawa, Muranowska 42 m. 29
      Dest: New York, USA;  Have ticket: Yes;  Pass. paid by: Self
      50$ or more: $20;   US before: No
      Joining: Ben Sirota (brother) Weinsten Hartford Conn. U.S.A.
      Intend to return: No;  Lgth of stay: for ever;  Become citizen: Yes
      Crippled: No;   Hgt: 5 ft, 3 inches;   ID: No
      Complexion/Hair/Eyes: Fair/Black/Brown;   POB: Bazala ziem Wolynska, Poland

34  Sirota, Ruchla;   25 yrs - mos;    M/F: F;   Marr/Sing: M
      Head Tax: Tax;   R/W: Y/Y;  Lang: jew;   Occ: Housekeeper
      Nationality: Poland;  Race: Hebrew;  Last perm res: Kupiel, Poland
      Nearest rel: Mojzesz Chudyk (friend) Warszawa, Muranowska 42 m. 29
      Dest: New York, USA;  Have ticket: Yes;  Pass. paid by: Self
      50$ or more: $10;   US before: No
      Joining: Sruel Sirota (Husband)Weinsten Hartford Conn. U.S.A.
      Intend to return: No;  Lgth of stay: for ever;  Become citizen: Yes
      Crippled: No;   Hgt: 5 ft, 4 inches;   ID: No
      Complexion/Hair/Eyes: Fair/Black/Black;   POB: Kuzminie z. Wolynska, Poland

35* Basior, Czarna;   18 yrs - mos;    M/F: F;   Marr/Sing: S
      Head Tax: Tax;   R/W: Y/Y;  Lang: jew;   Occ: Student
      Nationality: Poland;  Race: Hebrew;  Last perm res: Zamosc, Poland
      Nearest rel: Brana Basior (grand-mother) Zamosc
      Dest: New York, USA;  Have ticket: Yes;  Pass. paid by: Self
      50$ or more: $50;   US before: No
      Joining: Samuel Basior (father) 1164 Union Av. Bronx, New York
      Intend to return: No;  Lgth of stay: for ever;  Become citizen: Yes
      Crippled: No;   Hgt: 4 ft, 1 inches;   ID: No
      Complexion/Hair/Eyes: Fair/Black/Brown;   POB: Zamosc, Poland

36  Basior, Chaskel;   16 yrs - mos;    M/F: M;   Marr/Sing: S
      Head Tax: Tax;   R/W: Y/Y;  Lang: jew;   Occ: Student
      Nationality: Poland;  Race: Hebrew;  Last perm res: Zamosc, Poland
      Nearest rel: Brana Basior (grand-mother) Zamosc
      Dest: New York, USA;  Have ticket: Yes;  Pass. paid by: Self
      50$ or more: $-;   US before: No
      Joining: Samuel Basior (father) 1164 Union Av. Bronx, New York
      Intend to return: No;  Lgth of stay: for ever;  Become citizen: Yes
      Crippled: No;   Hgt: 5 ft, 1 inches;   ID: No
      Complexion/Hair/Eyes: Fair/Black/Black;   POB: Zamosc, Poland

37  Lindner, Fania;   23 yrs - mos;    M/F: F;   Marr/Sing: S
      Head Tax: Tax;   R/W: Y/Y;  Lang: jew pole;   Occ: Student
      Nationality: Poland;  Race: Hebrew;  Last perm res: Lwow, Poland
      Nearest rel: Rajmund Bartfeld (cousin) Lwow pasas Hausmana N. 3a
      Dest: Pittsburgh, USA;  Have ticket: Yes;  Pass. paid by: Self
      50$ or more: $20;   US before: No
      Joining: Max M. Lindner (brother) 21164 Wylie Ave. Pitttsburgh, PA
      Intend to return: No;  Lgth of stay: for ever;  Become citizen: Yes
      Crippled: No;   Hgt: 5 ft, 1 inches;   ID: No
      Complexion/Hair/Eyes: Fair M/Brown/Gray;   POB: Bukaczowce, Poland


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.
                         
   No passengers have been in prison or in an almshouse, are anarchists,
   or polygamists nor have they received job offers. All are in good
   mental and physical health.

   In the column for language "jew" indicates that the language is Yiddish.    
 
35 "WU" added to money brought indicates the funds were wired by a relative via Western
   Union.  

National Archives and Records Administration, Film T843, Reel 262, Vol. 426-427.

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