SS Kaiser
Wilhelm der Grosse
Affidavit of Surgeon
I, Dr. Ludeke, Surgeon of the "Kaiser Wilhelm der Grosse" sailing therewith do solemnly, sincerely, and truly swear that I have had fifteen years experience as a Physician and Surgeon, and that I am entitled to practice as such by and under the authority of the university of Munster, and that I have made a personal examination of each of the aliens named herein, and that the foregoing Lists or Manifest Sheets, 25 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.
Sworn to before me the 7th December 1910 in New York (signed) PA Donaghue Immigration Officer
SALOON, CABIN, AND STEERAGE ALIENS MUST BE COMPLETELY MANIFESTED.
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) No. on List;
2) Name in Full (Family name, Given name);
3) Age in Years and Months;
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 and City or Town.)
11) The name and complete address of nearest relative or friend in
country whence alien came;
12) Final destination; (State and City or Town.)
13) No. on List; (Since this is the same passenger number as column 1,
column 13 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 almhouse 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;
Supplemental information required by Naturalization Act approved June 29, 1906:
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.
1139 Pavlina
1140 Pavlik
1141 Tichy
1142 Rumisek, J
1143 Rumisek, K
1144 Sagat
1145 Zopek
1146 Prasek
1147 Jiricek
1148 Beresik
1149 Csander
1150 Himberger, F
1151 Himberger, J
1152 Walter, Jos
1153 Walter, Marie
1154 Walter, Joh
1155 Walter, Marg
1156 Walter, Marie
1157 Holczer
1158 Fischl
1159 Mihajlov
1160 Mitra
1161 Kluczka
1162 Matula
1163 Wozar
1164 Jurik
1165 Duris
1166 Filip
1167 Krchnavi
1168 Tvarovzsek
1139 Pavlina, Jan, 33y, male, married, farm laborer; can read/write; nat-Hungary; race-
Slovak; last resi: Bohemia-Jablonz; relative: wife, Elisabeth Paolina, Jablonz,
Bohemia; final dest: Pa-Tarentum; tkt?-yes; passage pd by self; has $28; in US
before?-no; going to: acquaintance, Franz Madarik, 1 Alley, Tarentum, Pa; in
prison-no; polygamist-no; anarchist-no; promise of work?-no; health-good; crippled-
no; height: 5'8"; complex-fair; hair-br; eyes-gr; marks of ID-no; place of birth:
Hungary, Lakopcse
1140 Pavlik, Jan, 21y, male, single, farm laborer; can read/write; nat-Austria; race-
Bohemian; last resi: Moravia-Potec; relative: father, Johann Pavlik, Potec,
Moravia; final dest: Conn-Derby/Shelton; tkt?-yes; passage pd by self; has $16; in
US before?-no; going to: acquaintance, Vincenc Zak, 57 Long Hill Ave, Shelton,
Conn; in prison-no; polygamist-no; anarchist-no; promise of work?-no; health-good;
crippled-no; height: 5'5"; complex-fair; hair-br; eyes-br; marks of ID-no; place of
birth: Moravia, Ldoko (see #1141)
1141 Tichy, Josef, 19y, male, single, cooper; can read/write; nat-Austria; race-Bohemian;
last resi: Moravia, Potec; relative: father, Josef Tichy, Potec, Moravia; final
dest: Conn-Derby/Shelton; tkt?-yes; passage pd by self; has $18; in US before?-no;
going to: brother-in-law, Vincenc Zak, 57 Long Hill Ave, Shelton, Conn; in prison-
no; polygamist-no; anarchist-no; promise of work?-no; health-good; crippled-no;
height: 5'5"; complex-fair; hair-bld; eyes-bl; marks of ID-no; place of birth:
Moravia-Potec (see #1140)
1142 Rumisek, Josef, 18y, male, single, blacksmith; can read/write; nat-Austria; race-
Bohemian; last resi: Moravia, Velka; relative: father, Josef Sup; final dest: Oh-
Toledo; tkt?-yes; passage pd by self; has $12; in US before?-no; going to: brother-
in-law, Tomas Horycansky, 226 Front Str, Toledo, Oh; in prison-no; polygamist-no;
anarchist-no; promise of work?-no; health-good; crippled-no; height: 5'7";
complex-fair; hair-blk: eyes-gr; marks of ID-no; place of birth: Moravia, Nova
Lhota (in nationality column are the numbers: "8-14839x 6/6/38")
1143 Rumisek, Katha, 19y, female, single, maid serv; can read/write; nat-Austria; race-
Bohemian; last resi: Moravia, Velka; relative: Jan Rumisek, Velka, Moravia; final
dest: Mich-Charlevoix; tkt?-yes; passage pd by self; has $23; in US before?-no;
going to: brother, Frank Rumisek, c/o John Martin, Box 95, Charlevoix, Mich;
in prison-no; polygamist-no; anarchist-no; promise of work?-no; health-good;
crippled-no; height: 5'4"; complex-fair; hair-bld; eyes-br; marks of ID-no; place
of birth: Moravia, Velka
1144 Sagat, Anna, 18y, female, single, maid serv; can read/write; nat-Austria; race-
Bohemian; last resi: Moravia, Velka; relative: father, Josef Sagat, Velka, Moravia;
final dest: Ill-Chicago; tkt?-yes; passage pd by self; has $20; in US before?-no;
going to: cousin, Paul Chrencik, c/o Chas. Kondrat, 1544 W 12 Str, Chicago, Ill;
in prison-no; polygamist-no; anarchist-no; promise of work?-no; health-good;
crippled-no; height: 5'3"; complex-fair; hair-bld; eyes-gr; marks of ID-no;
place of birth: Moravia, Velka (see #1145)
1145* Zopek, Cecilie, 20y, female, single, maid serv; can read/write; nat-Austria; race-
Bohemian; last resi: Moravia, Velka; relative: mother, Katerina Zobek, Velka,
Moravia; final dest: Ill-Chicago; tkt?-yes; passage pd by self; has $40; in US
before?-no; going to: acquaintance, Paul Chrencik, c/o Chas. Kondrat, 1544 W 12
Str, Chicago, Ill; in prison-no; polygamist-no; anarchist-no; promise of work?-no;
health-good; crippled-no; height: 4'11"; complex-fair; hair-bld; eyes-gr; marks
of ID-no; place of birth: Moravia, Velka (see #1144)
1146 Prasek, Magdalena, 17y, female, single, maid serv; can read/write; nat-Austria;
race-Bohemian; last resi: Moravia, Velka; relative: mother, Jan Prasek, Velka,
Moravia; final dest: New York; tkt?-yes; passage pd by self; has $15; in US
before?-no; going to: sister, Anny Prasek, 910 W. 94 Str, New York City; in prison-
no; polygamist-no; anarchist-no; promise of work?-no; health-good; crippled-no;
height: 5'0"; complex-fair; hair-bld; eyes-br; marks of ID-no; place of birth:
Moravia, Velka
This passenger was detained, click here for further information,
1147 Jiricek, Elisabeth, 19y, female, single, maid serv; can read/write; nat-Austria;
race-Bohemian; last resi: Moravia, Novalhota (Nova Lehota?); relative: father,
Martin Jiricek, Novalhota, Moravia; final dest: NY-Yonkers; tkt?-no; passage pd
by self; has $36; in US before?-no; going to:cousin, Marie ?urak, 47 Satmeri Str,
Yonkers, NY; in prison-no; polygamist-no; anarchist-no; promise of work?-no;
health-good; crippled-no; height: 5'1"; complex-fair; hair-bld; eyes-br; marks of
ID-no; place of birth: Moravia, Novalhota
This passenger was detained, click here for further information,
1148* Beresik, Michael, 52y, male, married, farm laborer; can read/write; nat-Austria;
race-German; last resi: Hungary, Felso W????; relative: wife, Dora Beresik, Felso,
W????, Hungary; final dest: Mass-Webster; tkt?-yes; passage pd by self; has $20;
in US before?-no; going to: acquaintance, Stefan ?orzig, 56 Par? Str, Webster,
Mass; in prison-no; polygamist-no; anarchist-no; promise of work?-no;
health-Trachoma (there is no further information recorded and the entry is
crossed out - probably this person did not make the voyage)
1149 Csander, Argad, 26y, male, single, butcher; can read/write; nat-Hungary; race-
German; last resi: Hungary, Kesmark; relative: father, Daniel Csander, Kesmark,
Szepes, Hungary; final dest: NY-Rockaway; tkt?-no; passage pd by self; has $25;
in US before?-no; going to: brother, Bela Csander, 9 Porken Haus, Rockaway, NY;
in prison-no; polygamist-no; anarchist-no; promise of work?-no; health-good;
crippled-no; height: 5'0"; complex-fair; hair-br; eyes-gr; marks of ID-no; place
of birth: Kesmark
1150 Himberger, Ferencz, 29y, male, married, farm laborer; can read/write; nat-Hungary;
race-German; last resi: Hungary, Vertesacza; relative: father, Johann Himberger,
Vertesacza, Szepes, Hungary; final dest: NY-Ithaca; tkt?-yes; passage pd by self;
has $50; in US before?-no; going to: sister, Rosa Himberger, 605 C?????a Str,
Ithaca, NY; in prison-no; polygamist-no; anarchist-no; promise of work?-no;
health-good; crippled-no; height: 5'6"; complex-fair; hair-bld; eyes-gr; marks of
ID-no; place of birth: Hungary, Vertesacza
1151 Himberger, Juliana, 17y, female, married, housewife; can read/write; nat-Hungary;
race-German; last resi: Hungary, Vertesacza; relative: father-in-law, Johann
Himberger, Vertesacza, Szepes, Hungary; final dest: NY-Ithaca; tkt?-yes; passage
pd by husb; $ (w/1150); in US before?-no; going to: sister-in-law, Rosa Himberger,
(same address as #1150); in prison-no; polygamist-no; anarchist-no; promise of
work?-no; health-good; crippled-no; height: 5'2"; complex-fair; hair-bld; eyes-gr;
marks of ID-no; place of birth: Hungary, Vertesacza
1152 Walter, Josef, 34y, male, married, butcher; can read/write; nat-Canada; race-
German; last resi: Man-Winnipeg; relative: father, Franz Walter, Nemet, Czernya,
Tor, Hungary; final dest: Man-Winnipeg; tkt?-yes; passage pd by self; has $60; in
US before?-yes (years are light but 1909 can be seen); going to: brother, Paul
Walter, 545 Bojt Ave, Winnepeg, Man; in prison-no; polygamist-no; anarchist-no;
promise of work?-no; health-good; crippled-no; height: 5'8"; complex-fair; hair-
blk; eyes-gr; marks of ID-no; place of birth: Hungary, Czernya ("non-immigrant
alien" stamped over place of last residence. Also, over place of last residence,
"naturalized Canadian" is written)
1153 Walter, Marie, 32y, female, married, housewife; can read/write; nat-Canada; race-
German; last resi: Man-Winnipeg; relative: father-in-law, Franz Walter, Nemet,
Czernya, Tor, Hungary; final dest: Man-Winnipeg; tkt?-yes; passage pd by husb;
$ (w/#1152); in US before?-yes (years are light but 1909 can be seen); going
to: brother-in-law, Paul Walter (same address as #1152); in prison-no;
polygamist-no; anarchist-no; promise of work?-no; health-good; crippled-no;
height: 5'1"; complex-fair; hair-blk; eyes-br; marks of ID-no; place of birth:
Hungary, Czernya ("non-immigrant alien" stamped over place of last residence.
Also, over place of last residence, "naturalized Canadian" is written)
1154 Walter, Johann, 32y, male, married, farm laborer; can read/write; nat-Hungary; race-
German; last resi: Hungary, Nemet Czernya; relative: father, Franz Walter, Nemet,
Czernya, Tor, Hungary; final dest: Man-Winnipeg; tkt?-yes; passage pd by self; has
$160; in US before?-yes (years are so light they can't be read); going to: brother,
Paul Walter (same address as #1152); in prison-no; polygamist-no; anarchist-no;
promise of work?-no; health-good; crippled-no; height: 5'7"; complex-fair; hair-blk;
eyes-gr; marks of ID-no; place of birth: Hungary, Czernya ("non-immigrant alien"
stamped over place of last residence)
1155 Walter, Margarethe, 38y, female, married, housewife; can read/write; nat-Hungary;
race-German; last resi: Hungary-Nemet Czernya; relative: father-in-law, Franz
Walter, Nemet, Czernya, Tor, Hungary; final dest: Man-Winnipeg; tkt?-yes; passage pd
by husb; $ (W/#1154); in US before?-yes (years are so light they can't be read);
going to: brother-in-law, Paul Walter (same address as #1152); in prison-no;
polygamist-no; anarchist-no; promise of work?-no; health-good; crippled-no; height:
5'1"; complex-fair; hair-bld; eyes-bl; marks of ID-no; place of birth: Hungary,
Czernya ("non-immigrant alien" stamped over place of last residence)
1156 Walter, Marie, 5-1/2y, female, single, no occupation; can't read/write; nat-Hungary;
race-German; last resi: Hungary, Nemet Czernya; relative: grandfather, Franz Walter,
Nemet, Czernya, Tor, Hungary; final dest: Man-Winnipeg; tkt?-yes; passage pd by
father; $ (w/#1154); in US before?-yes (years are do light they can't be read);
going to: uncle, Paul Walter (same address as #1152); in prison-no; polygamist-no;
anarchist-no; promise of work?-no; health-good; crippled-no; height: (no entry);
complex-fair; hair-bld; eyes-bl; marks of ID-no; place of birth: Hungary, Czernya
("non-immigrant alien" stamped over place of last residence)
1157 Holczer, Karolin, 19y, female, single, maid serv; can read/write; nat-Hungary; race-
German; last resi: Hungary, Kolontar; relative: father, Josef Holczer, Kolontar,
Veszpran, Hungary; final dest: Pa-Philadelphia; tkt?-yes; passage pd by self; has
$25; in US before?-no; going to: uncle, Johan Stampf, 1228 Viktorine Str,
Philadelphia, Pa; in prison-no; polygamist-no; anarchist-no; promise of work?-no;
health-good; crippled-no; height: 5'0"; complex-fair; hair-bld; eyes-gr; marks of
ID-no; place of birth: Kolontar (see #1158)
1158 Fischl, Janos, 29y, male, married, farm laborer; can read/write; nat-Hungary; race-
German; last resi: Pa-Philadelphia; relative: mother, Erzebeth Fischl, Kolontar,
Veszp, Hungary; final dest: Pa-Philadelphia; tkt?-yes; passage pd by self; has $60;
in US before?-yes, 1904-1909 Philadelphia, Pa; going to: brother-in-law, Johan
Stampf, (same address as #1157); in prison-no; polygamist-no; anarchist-no; promise
of work?-no; health-good; crippled-no; height: 5'10"; complex-fair; hair-br; eyes-
gr; marks of ID-no; place of birth: Hungary, Kolontar (above the passenger number
column are the numbers: "443517 11-30-28 DOS". See also #1157)
1159* Mihajlov, Sekula, 40y, male, married, farm laborer; can't read/write; nat-Hungary;
race-Servian; last resi: Hungary, Szrb Elemer; relative: wife, Erica Sekula
Michajlov, Szerb Elemer, Tor, Hungary; final dest: Oh-Akron; tkt?-yes; passage pd
by self; has $24; in US before?-yes, 1905-1907, Akron, Oh; going to: brother,
Milanko Mikajlov, 125 Ke?????? Str, Akron, Oh; in prison-no; polygamist-no;
anarchist-no; promise of work?-no; health-good; crippled-no; height: 5'4"; complex-
fair; hair-br; eyes-gr; marks of ID-no; place of birth: Hungary, Szrb Elemer
1160 Mitra, Flie, 32y, male, married, farm laborer; can read/write; nat-Hungary; race-
Romanian; last resi: Ohio, Cinncinati; relative: wife, Maria Mitra, Nikolincz, Kr Sz,
Hungary; final dest: Pa-Steelton; tkt?-yes; passage pd by self; has $25; in US
before?-yes, 1902 to 1908, Cincinnati, Oh; going to: friend, Jakob Saon, 363
Cristian Str, Steelton, Pa; in prison-no; polygamist-no; anarchist-no; promise of
work?-no; health-good; crippled-no; height: 5'8"; complex-fair; hair-bld; eyes-br;
marks of ID-no; place of birth: Hungary, Nikolincz
1161 Kluczka, Georg, 18y, male, single, farm laborer; can read/write; nat-Hungary; race-
Slovak; last resi: Hungary-Banock; relative: father, Janos Kluczka, Banock, Zpl,
Hungary; final dest: NJ-Elizabeth; tkt?-yes; passage pd by self; has $35; in US
before?-yes, 1893 to 1907, Ashtabula, Oh; going to: brother-in-law, Majk Varvarek,
332 ??j??j Str, Elizabeth, NJ; in prison-no; polygamist-no; anarchist-no; promise
of work?-no; health-good; crippled-no; height: 5'4"; complex-fair; hair-br; eyes-
gr; marks of ID-no; place of birth:.USA-N. York, Elizabeth (NJ?)
1162 Matula, Josef, 34y, male, married, farm laborer; can read/write; nat-Hungary; race-
Slovak; last resi: Hungary, Poroszka; relative: wife, Maria Matula, Poroszka,
Trcs, Hungary; final dest: Ill-Chicago; tkt?-yes; passage pd by self; has $25;
in US before?-no; going to: brother-in-law, Georg Kapila, 955 West 18 Place,
Chicago, Ill; in prison-no; polygamist-no; anarchist-no; promise of work?-no;
health-good; crippled-no; height: 5'8"; complex-fair; hair-br; eyes-gr; marks of
ID-no; place of birth: Hungary, Poroszka
1163 Wozar, Gustav, 26y, male, married, farm laborer; can read/write; nat-Hungary; race-
Slovak; last resi: Hungary, Poroszka; relative: wife, Amalia Wozar, ?u?o?yfa?s,
Trcs, Hungary; final dest: (no further information is recorded except under
health "conj foll."; apparently this person did not make the voyage)
1164 Jurik, Anna, 17y, female, single, maid serv; can read/write; nat-Hungary; race-
Slovak; last resi: Hungary, Horocz; relative: father, Janos Jurik, Horocz, Trcs,
Hungary; final dest: Wisc-Milwaukee; tkt?-yes; passage pd by self; has $35; in
US before?-no; going to: uncle, Pal Krajcsik, 584 3 Str, Milwaukee, Wisc; in
prison-no; polygamist-no; anarchist-no; promise of work?-no; health-good;
crippled-no; height: 5'2"; complex-fair; hair-bld; eyes-gr; marks of
ID-no; place of birth: Hungary, Fuchona
1165 Duris, Eva, 17y, female, single, maid serv; can read/write; nat-Hungary; race-
Slovak; last resi: Hungary, Kalamos; relative: mother, Anna Duris, Kalamos, Trcs,
Hungary; final dest: Ill-Chicago; tkt?-yes; passage pd by self; has $19; in US
before?-no; going to: sister, Judita Filip, 2074 Elston Ave, Chicago, Ill; in
prison-no; polygamist-no; anarchist-no; promise of work?-no; health-good;
crippled-no; height: 5'3"; complex-fair; hair-bld; eyes-bl; marks of ID-no;
place of birth: Hungary, Kalamos. (see #1166)
1166 Filip, Adam, 33y, male, married, blacksmith; can read/write; nat-Hungary; race-
Slovak; last resi: Ill-Chicago; relative: father, Adam Filip, Kalamos, Trcs,
Hungary; final dest: Ill-Chicago; tkt?-yes; passage pd by self; has $25; in US
before?-yes, 1901 to 1910, Chicago, Ill; going to: wife, Judita Filip, 2074
Elston Ave, Chicago, Ill; in prison-no; polygamist-no; anarchist-no; promise
of work?-no; health-good; crippled-no; height: 5'5"; complex-fair; hair-br;
eyes-br; marks of ID-no; place of birth: Hungary, Kalamos ("non-immigrant
alien" stamped over place of last residence. See also #1165)
1167 Krchnavi, Mihaly, 29y, male, married, farm laborer; can read/write; nat-Hungary;
race-Slovak; last resi: Hungary, Kalamos; relative: wife, Eva Krchnavi, Kalamos,
Trcs, Hungary; final dest: New York; tkt?-yes; passage pd by self; has $25; in US
before?-yes, 1906 to 1910, Bridgeport, Conn; going to: acquaintance, Jozsef
Gondar, 107-1/2 3 Str, New York; in prison-no; polygamist-no; anarchist-no;
promise of work?-no; health-good; crippled-no; height: 5'8"; complex-fair;
hair-br; eyes-bl; marks of ID-no; place of birth: Hungary, Kalamos ("non-
immigrant alien" stamped over place of last residence. See also #1168)
1168 Tvarovzsek, Samuel, 24y, male, single, blacksmith; can read/write; nat-Hungary;
race-Slovak; last resi: Ill-Chicago; relative: uncle, Gyorgy Tvarozrsek, Brezova,
Nyitra, Hungary; final dest: New York; tkt?-yes; passage pd by self; has $28; in US
before?-yes, 1905 to 1910, Chicago, Ill; going to: acquaintance, Jozsef Gondar,
107-1/2 3 Str, New York; in prison-no; polygamist-no; anarchist-no; promise of
work?-no; health-good; crippled-no; height: 5'10"; complex-fair; hair-br; eyes-
gr; marks of ID-no; place of birth: Hungary, Brezova ("non-immigrant alien"
stamped over place of last residence. See also #1167)
Transcriber's Notes:
A ? indicates letter or letters that could not be read because of the quality
of the document or the handwriting of the original lister. Every attempt is
made to list possibilities when feasible.
The numbering system is that of the transcriber and not of the original
lister. The form allows for 30 passengers per page, but at times the original
lister did not completely fill the page. When possible the transcriber has
listed 30 passengers per page.
Parentheses are used by the transcriber to clarify or add additional informa-
tion. They were not placed by the original lister.
The lister frequently abbreviated son-in-law as "sil" and brother-in-law as
"bil"; transcriber spelled these completely for ease in understanding.
The lister abbreviated "male" as "m" and "female" as "f"; transcriber spelled
these completely for ease in reading. Lister also abbreviated "married" as "m"
and "single" as "s"; again, these were spelled completely by transcriber.
Occasionally there were numbers written in above the column, particularly the
occupation column. These refer to the naturalization process. See jewishgen.org
for an explanation.
#1145 Surname of passenger and mother in former country differ. Both are
transcribed as seen
#1148 Person going to: Horzig, Korzig
#1159 The spelling of the surname of the passenger differs from that of the
brother in the US. Both are transcribed as seen.
National Archives and Records Administration, Film T715. Reel; 160-5, Volume 3536,
Contributed by Sharon Hartman Krisko a member of the
Immigrant Ships Transcribers Guild
Transcribed by Patricia Martin Kennedy and Lora Lee Ament members of the
Immigrant Ships Transcribers Guild
26 May 2004
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