I, H. Candy (Chief Officer), of the Philadelphia from Southampton, 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 oral examination of each and all aliens named in the foregoing Lists of Manifest Sheets, 7 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 afflicted 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 misdemeanor 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, or 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 therein is correct and true in every respect. (Signed) H Candy, Chief Officer
Sworn to before me this 17 day of Sep, 1910 at New York (Signed) Tuttle, Immigration Officer

Affidavit of Surgeon I, W. R. Henderson, Surgeon of the Philadelphia do solemnly, sincerely and truly swear that I have had 12 years experience as a Physician and Surgeon, and that I am entitled to practice as such by and under the authority of Univ Columbia N. Y., and that I have made a personal examination of each of the aliens named herein, and that the foregoing Lists or Manifest Sheets, 7 in number, are, according to the best of my knowledge and belief, full, correct, and true in all particulars, relative to the mental and physical condition of such aliens. (Signed) Dr. W^m R. Henderson
Sworn to before me this 17 day of Sep 1910 at New York, (Signed) Tuttle, Immigration Officer

LIST OR MANIFEST OF ALIEN PASSENGERS FOR THE UNITED STATES IMMIGRATION OFFICER AT PORT OF ARRIVAL Required by the regulations of the Secretary of Commerce and Labor of the United States, under Act of Congress approved February 20, 1907, to be delivered to the United States Immigration Officer by the Commanding Officer of any vessel having such passengers on board upon arrival at a port in the United States

Columns represent:
  1) Number on List
  2) Name in Full (Family Name, Given Name)
  3) Age (Yrs, Mos)
  4) Sex
  5) Married or Single
  6) Calling or Occupation
  7) Able to Read/Write
  8) Nationality (Country of which citizen or 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 (State, City or Town)
13) Whether having a ticket to such final destination
14) By whom was passage paid? (Whether alien paid his own passage, whether paid by say other person, or by say corporation, society, municipality or government)
15) Whether in possession of $50 and, if less, how much?
16) Whether ever before in the United States; and, if so, when and where? (Yes or no), If yes, year or period of years, Where?)
17) Whether going to join relative or friend; and if so, what relative or friend, and his name and complete address
18) Ever in prison or almshouse or institution for care and treatment of the insane or supported by charity? If so, which?
19) Whether a polygamist
20) Whether an anarchist
21) Whether coming by reason of an offer, solicitation, promise or agreement, express or implied, to labor in the United States
22) Condition of Health, Mental and Physical
23) Deformed or Crippled. Nature, length of time and cause
24) Height (Feet, Inches)
25) Complexion
26) Color of Hair, Eyes
27) Marks of Identification
28) Place of Birth (Country, City or Town)

 
Southampton, England to New York, New York
 474  Dougherty, Mary -Wife-, 52y, Female, Married, Wife; Can read/write; Nationality: US Citizen; Final Dest: Wis-
      Milwaukee; Going Home: 319 Clybourne St.

 475  Dougherty, Michael James -Husb-, 52y, Male, Married; Can read/write; Nationality: US Citizen; Final Dest: Wis-
      Milwaukee; Going Home: 319 Clybourne St.

 476  Barker, Ellen, 35,8m, Female, Married, Wife; Can read/write; Nationality: US Citizen; Final Dest: NJ-Asbury 
      Park; Going to: Husband, W^m Barker, Cookmans Ave, Asbury Park, NJ. (See Pg. 6, Passenger 390, sister to
      this passenger).

 477  Close, William -Husb-, 57y, Male, Married, Retired; Can read/write; Nationality: US Citizen; Final Dest: Ohio-
      Cleveland; Going: 6947 Kinsman Rd, Cleveland, Ohio.

 478  Close, Alice E -Wife-, 50y,4m, Female, Married, Wife; Can read/write; Nationality: US Citizen; Final Dest: 
      Ohio-Cleveland; Going: (Same as above)

 479  Close, Olive M -Dau-, 21y,3m, Female, Single, No Occ; Can read/write; Nationality: US Citizen;  Final Dest: 
      Ohio-Cleveland; Going: (Same as above)

 480  Olsen, Mahlon E -Husb-, 37y, Male, Married, Educator; Can read/write; Nationality: US Citizen;  Final Dest:  
      DC-Tacoma Park; Going Home, 9 Pine Ave. 

 481  Olsen, Lydia D -Wife-, 19y, Female, Married, Wife; Can read/write; Nationality: US Citizen; Final Dest:  DC-
      Tacoma Park; Going: (Same as above) 

 482  Hemenway, Lydia Eliz, 25y9m, Female, Single, Teacher; Can read/write; Nationality: US Citizen; Final Dest: 
      Kan-Clyde; Going Home: Clyde, Clond Co, Kansas.

 483  Furlong, Cecil, 19y,5m, Male, Single, Student; Can read/write; Nationality: US Citizen; Final Dest: NY-????; 
      Going Home: 511 Bway (written over Montreal. Is he going to New York City and then Montreal?)

 484  Russell, Fred, 39y, Male, Single, Clerk; Can read/write; Nationality: US Citizen; Final Dest: NJ-Gibbsboro; 
      Going to Walter Russell, Gibbsboro, NJ. 

 485  Dancer, Joseph C -Father-, 51y, Male, Married, Engineer; Can read/write; Nationality: US Citizen; Final Dest: 
      NY-Schenectady; Going 746 State St, Schenectady, NY      

 486  Dancer, John C -Son-, 17y, Male, Single, Scholar; Can read/write; Nationality: US Citizen; Final Dest: NY-
      Schenectady; Going (Same as above)

 487  Brown, Fredk A, 48y, Male, Single, Printer; Can read/write; Nationality: US Citizen; Final Dest: Ct-Noank; 
      Home, Noank, Ct.
 
 488  Thirlby, Fred, 24y,10m, Male, Single, Farming; Can read/write; Nationality: US Citizen; Final Dest: Iowa-
      Marshalltown.

 489  Hart, Emile Abraham, 30y, Male, Married, Tax Office Clerk; Can read/write; Nationality: US Citizen; Final 
      Dest: NYC; Going: 150 Alexandra Ave, Bronxborough, NY

 490  Taylor, John Stapleton, 39y, Male, Married, Twister; Can read/write; Nationality: US Citizen; Final Dest: 
      RI-Pawtucket.

 491  Kollmeyer, Joe, 48y, Male, Single; Can read/write; NOB (which is "Not on Board".  Going to (proposed): Brother N 
      Kollmeyer, 1102 Irving St, Washington DC.

 492  Malcolm, W H -Mo-, 41y, Female, Married, Wife; Can read/write; Nationality: US Citizen; Final  Dest: 
      Washington; Going to: Husband, Cove, Kings Co, Washington.

 493  Malcolm, Dorothy -Dau-, 17y, Female, Single, Student; Can read/write; Nationality: US Citizen; Final Dest: 
      (See above)

 494  Malcolm, Una M -Dau-, 5y6m, Female, Single, Child; Can read/write; Nationality: US Citizen;  Final Dest: 
      (See above)

 495  Cohn, Leo -Husb-, 32y,5m, Male, Married, Broker; Can read/write; Nationality: US Citizen; Final Dest: 
      Home, 352 W 46 St, NY. 

 496  Cohn, Fanny -Wife-, 23y,8m, Female, Married, Wife; Can read/write; Nationality: US Citizen;  Final Dest: 
      (See above).

 497  Whitfield, Cathra, 47y, Female, Married, Wife; Can read/write; Nationality: US Citizen; Final  Dest: 
      NY-Tu???do Park (Tuxedo Park?), NY

 498  Mitchell, Jessie, 39y, Female, Married, Wife; Can read/write; Nationality: US Citizen; Final Dest: 
      NJ-Hackensack; Going Home: 86 Passaic St.

 499  Eddy, Thomas John, 26y,2m, Male, Married, Boiler Smith; Can read/write; Nationality: US Citizen; Final 
      Dest: Ariz-Bisbee, Home.

 500  Condon, Dorothy -Mo- 28y, Female, Married, Wife; Can read/write; Nationality: US Citizen; Final Dest: 
      Husband, 17 Mollie Ave, Ballston Spa, NY.

 501  Condon, Hazel -Dau- 8y, Female, Single, Child; Cannot read/write; Nationality: US Citizen; Final Dest: 
      Ballston Spa (Same as above)

 502  Treloar, Jos James, 36y,10m, Male, Single, Carpenter; Can read/write; Nationality: US Citizen; Final Dest: 
      Brother, R C Treloar, 1621 4th Ave, Butte, Montana.  


Transcriber's Notes:

An asterisk (*) is used to refer to an item in the Transcriber's Notes, which further explains 
the entry. Parentheses within the paragraph are used by this transcriber to add information to 
clarify an entry, or to record additional information written by the original lister.

A question mark (?) is used for letter/letters that cannot be read because of the quality of 
the document.  

The transcriber has used a circumflex (^) to indicate missing letters in a name or word. The 
original recorder showed this by writing the final letter/letters smaller and raising them 
above the line. An example would be W^m for William.

At times there are a series numbers/letters written above or next to the name, or above the 
occupation column.  This concerns the naturalization process. Click here for an explanation.

National Archives and Records Administration, Film T715, Reel 1556.

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