This Sheet is for
passengers |
List # |
Extracted information from List or Manifest at Port of
Arrival |
|
S.S. |
Other page nums: |
|
Sailing from |
Arriving at |
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Date |
Date |
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1 |
Line Number on List |
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2 |
Head-Tax Status |
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3 |
Name in Full |
Family Name |
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Given Name |
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4 |
Age |
Years/Mos |
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5 |
Sex |
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6 |
Married/Single |
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7 |
Calling/Occupation |
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8 |
Able to: |
Read-Lang. |
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Write |
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9 |
Nationality |
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10 |
Race or People |
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11 |
Last Perm. Residence |
Country |
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City/Town |
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12 |
Name/address of relative/friend in home country. |
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13 |
Final Destination |
State |
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City/Town |
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14 |
Line Number on List |
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15 |
Ticket to final destination? |
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16 |
Who paid passage? |
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17 |
Have $50? If not how much? |
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18 |
Ever in US before? |
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If yes: |
Year or period |
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Where? |
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19 |
Joining a relative or friend? Who and where? |
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20 |
Purpose of coming to U.S. |
Int. to return? |
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How long stay? |
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Int on US Citz? |
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21 |
Ever in prison, asylum, etc? |
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22 |
A polygamist? |
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23 |
An Anarchist? |
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24 |
Believe in overthrow of govt? |
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25 |
Come becaus of an offer? |
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26 |
Previosly deported? |
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27 |
Mental and Physical health |
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28 |
Deformed/crippled? Nature: |
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29 |
Height |
Feet/Inches |
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30 |
Complexion |
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31 |
Color of |
Hair |
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Eyes |
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32 |
Marks of Identification |
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33 |
Place of birth |
Country |
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City/Town |
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34 |
Immigration Visa |
Date |
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35 |
Place issued |
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36 |
Number |
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Source info: |
Extracted by: |
Extract date: |
|
Title of microfilm publication |
NARA pub.number |
Publisher |
Microfilm roll # |
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Yes No |
Page # |
The exact spelling of the primary name as indexed: |
Copyright 2003 by Lisa Perkins. All Rights Reserved. |