Immigrant Ships
Transcribers Guild

SS Samland

I, J.E. King of the S/S Samland, from Danzig, 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 the aliens named in the foregoing Lists or Manifest Sheets, 2 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.

J.E King
Master Officer

Sworn to before me this 23rd day of March, 1922
at New York

W. Tulley
Immigration Officer

I, Adolphe Poucelet, Surgeon of the S/S Samland, sailing therewith, do solemnly and truly swear that I have had 3 years experience as a Physician and Surgeon, and that I am entitled to practice as such by and under the authority of the Brussels University, and that I have made a personal examination of each of the aliens named herein, and that the foregoing Lists or Manifest Sheets, 2 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.

Adolphe Poucelot
Sworn to before me this 23rd day of March, 1922
at New York

1) No. on List
2) Family Name
3) Given Name
4) Age Yrs. and Mos.
5) Sex
6) Married or Single
7) If Native of United States Insular Possession of if Native of United States Give Date and Place of Birth
     (City or Town and State)
8) If Naturalized, Give Name and Location of Court Which Issued Naturalization Papers and Date of Papers
9) Address in United States

              Passengers #57 - #65 are U.S. Citizens.
57 Krystoforska, Mary
58 Trzcinski, Wlasyslaw
59 Brendel, Artur Christian
60 Brendel, Pauline
61 Brendel, Oswald
62 Brendel, Artur Emil
63 Brendel, Frieda Olga
64 Stupaj, Ruchla
65 Stupaj, Szlama

57   Krystoforska, Mary; 22 yrs  - mos;  Sex: F;  Marr/Sing: S  
     Place of Birth: Plymouth, Pa. August 5th 1899 105330
     Name & location of court which issued naturalization papers: PP 105330 Hughes
     Address in United States: Sister, Joanne Stankowska, 208 Massino Str. Syracuse, N.Y.
     
58   Trzcinski, Wlasyslaw; 19 yrs - mos; Sex M;  Marr/Sing: S
     Place of Birth: Born in Braddock, Pa. 1903 May 17th  1428
     Name & location of court which issued naturalization papers: PP 1428 Warsaw
     Address in United States: Josef Mosior, 1072 Jefferson Ave. Washington, Pa.

59   Brendel, Artur Christian;  26 yrs  - mos;  Sex: M;  Marr/Sing: M
     Place of Birth: Born in Jersey City, 1896 May 21st.
     Name & location of court which issued naturalization papers: 103106
     Address in United States: Edward Kolew, 610 6th Ave. Beaver Falls, Pa.

60   Brendel, Pauline (wife);  23 yrs  - mos;  Sex: F;  Marr/Sing: M
     Place of Birth: 103106
     Name & location of court which issued naturalization papers: Marriage
     Address in United States: Edward Kolew, 610 6th Ave. Beaver Falls, Pa.

61   Brendel, Oswald (son);  2 yrs  - mos;  Sex: F;  Marr/Sing: M
     Place of Birth: 103106
     Name & location of court which issued naturalization papers: Parentage
     Address in United States: Edward Kolew, 610 6th Ave. Beaver Falls, Pa.

62   Brendel, Artur Emil (son);  - yrs  2 mos;  Sex: M;  Marr/Sing: S
     Place of Birth: 103106
     Name & location of court which issued naturalization papers: Parentage
     Address in United States: Edward Kolew, 610 6th Ave. Beaver Falls, Pa.

63   Brendel, Frieda Olga (sister);  22 yrs  - mos;  Sex: F;  Marr/Sing: S
     Place of Birth: Born in Jersey City, 1899 26th Nove
     Name & location of court which issued naturalization papers: 103104
     Address in United States: Edward Kolew, 610 6th Ave. Beaver Falls, Pa.

64   Stupaj, Ruchla;  35 yrs  - mos;  Sex: F;  Marr/Sing: M
     Place of Birth: Marriage  1338
     Name & location of court which issued naturalization papers: Passport 1338 issud by 
     American Consul in Warsaw, 14th Novbr. 19210
     Address in United States: Isidor Stone, 168 25th Str. Detroit, Mich.

65*  Stupaj, Szlama;  10 yrs  - mos;  Sex M;  Marr/Sing: S
     Place of Birth: Parentage  1338
     Name & location of court which issued naturalization papers: Passport 1338 issud by 
     American Consul in Warsaw, 14th Novbr. 19210
     Address in United States: Isidor Stone, 168 25th Str. Detroit, Mich.


Transcriber's Notes:    
 
* An asterisk indicates an error on the part of the original recorder, not
  the transcriber, or is used to call your attention to additional information
  in the transcriber's notes.

? Indicates a letter or number which could not be determined due to the
  condition of the manifest or handwriting of the original recorder.


*65  This record is crossed out and a note added to see passenger record #29.

National Archives and Records Administration, Film T715, Reel 3093, List 7057.

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