SS La Bretagne
I, R. Moussion, of the La Bretagne, 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 of the aliens named in the foregoing Lists or Manifest Sheets, forty-nine 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 insane person, or a pauper, or is likely to become a public charge, or is suffering from a loathsome or a dangerous contagious disease, or is a person who has been convicted of a felony or other crime or misdemeanor involving moral turpitude, or a polygamist, or an anarchist, or under promise or agreement, express or otherwise, to perform labor in the United States, or a prostitute, and that also, according to the best of my knowledge or belief, the information in said Lists or Manifests concerning each of said aliens named therein is correct and true in every respect.
(Signed) R. Moussion, Second Officer
Sworn before me this 28 day of May, 1907 (signed) F B Ma??tin, Immigration Officer at NY
Affidavit of Surgeon
I, Jousseauline Ferdinand, Surgeon of the La Bretagne, sailing therewith, do solemnly, sincerely, and truly swear that I have had twelve years' experience as a Physician and Surgeon, and that I am entitled to practice as such under the authority of Faculty of Medicine of Montpellier, and that I have made a personal examination of each of the aliens named herein, and that the foregoing Lists or Manifest Sheets, forty nine 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) Ferdinand Jousseauline
Sworn to before me this 28 day of May, 1907 (signed) F B Ma??tin, Immigration Officer at NY
List or Manifest of all the Passengers taken on board the S.S. La Bretagne whereof R. Moussion is Second Officer, from Le Havre burthen (tonnage not given) tons.
Columns represent:
1) Number on list
2) Last Name
3) First Name
4) Age in years and months
5) Sex
6) Married or Single
7) Calling or Occupation
8) Able to read and write
9) Nationality (Country of last permanent residence)
10) Race or People
11) Last Residence (Province, City or Town)
12) Final Destination (State, City or Town)
13) Whether having a ticket to such final destination By whom was passage paid
14) Whether in possession of $50, and if less, how much
15) Whether ever before in the United States, and if so, when and where
16) Whether going to join a relative or friend, and if so, what relative or friend, and his name and complete address
17) Whether ever in prison, or almshouse, or institution for care and treatment of the insane, or supported by charity? If so, which
18) Whether a polygamist
19) Whether an anarchist
20) Whether coming by reason of any offer, solicitation, promise, or agreement, express or implied, to labor in the United States
21) Condition of health, mental and physical
22) Deformed or crippled, nature, length of time, and cause
23) Personal Description: Height in Feet and Inches
24) Complexion
25) Color of Hair and Eyes
26) Marks of Identification
27) Place of Birth.
601 Anzicek, Jakob 602 Mocnik, Johann 603 Trbovic, Anica 604 Vujnovic, Sava 605 Sluga, Anna 606 Bara, Stepusin 607 Turkalj, Ive 608 Cikara, Jovan 609 Vidic, Mile 610 Dancula, Marko 611 Bek, Rudolf 612 Lapcevic, Anna 613 Lapcevic, Dragica 614 Lapcevic, Petra 615 Mavojlovic, Milice 616 Novosel, Jelsa 617 Novosel, Petronila 618 Gjurinec, Teresa 619 Bilant, Valent 620 Lakotic, Kuzman 621 Vucic, Maria 622 Vucic, Maria 623 Vucic, Olga 624 Marinic, Joso 625 Gracan, Janko 626 Rozic, Miko 627 ?es??ot, Janko 628 Sertic, Luka 629 Gurovic, Anica
601 Anzicek, Jakob; 38y; Male; Married; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Slovenian; Last Residence: Rudolfswerth; Final Destination: Chicago Ill; Having a ticket to final destination: No; Paid by: Himself; Money in Possession: $20; Whether ever in U.S.: 1892/1906; Joining: Friend Josef Polcie; Address: 188 Union St; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'7"; Complexion: fair; Hair: fair; Eyes: grey; Place of Birth: Rudolfswerth
602 Mocnik, Johann; 17y; Male; Single; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: German; Last Residence: Linz; Final Destination: Cleveland Ohio; Having a ticket to final destination: Yes; Paid by: Himself; Money in Possession: $10; Whether ever in U.S.: No; Joining: brother Mocnik Fr.; Address: 6131 St Clair Ave; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'5"; Complexion: fair; Hair: fair; Eyes: blue; Place of Birth: Krain
603 Trbovic, Anica; 19y; Female; Single; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Slovenian; Last Residence: Gomerg; Final Destination: Pittsburg Pa; Having a ticket to final destination: Yes; Paid by: ?? (Note: looks like S.S. or S.P.); Money in Possession: $10; Whether ever in U.S.: No; Joining: brother Trbovic Mile; Address: 2338 Carbon St; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'3"; Complexion: fair; Hair: fair; Eyes: grey; Place of Birth: Gomerg
604 Vujnovic, Sava; 19y; Female; Single; Occupation: none; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: German; Last Residence: Gomerg; Final Destination: Pittsburg Pa; Having a ticket to final destination: Yes; Paid by: ?? (Note: looks like S.S. or S.P.); Money in Possession: $10; Whether ever in U.S.: No; Joining: brother Vujnovic Dusan; Address: 3027 Wan???? St. (Note: could be Wauport or Wanport); Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Dr memo: Goitre; Deformed or Crippled: No; Height: 5'5"; Complexion: fair; Hair: fair; Eyes: blue; Place of Birth: Gomerg
605 Sluga, Anna; 21y; Female; Single; Occupation: none; Able to read/write: Yes/No; Last Permanent Residence: Austria; Race: Croatian; Last Residence: Podgrad; Final Destination: Joliet Ill; Having a ticket to final destination: Yes; Paid by: herself; Money in Possession: $12; Whether ever in U.S.: No; Joining: cousin Bozic Anna; Address: 208 Bridge St; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'3"; Complexion: fair; Hair: fair; Eyes: grey; Place of Birth: Sabona
606 Bara, Stepusin; 29y; Female; Single; Occupation: Laborer; Able to read/write: No/No; Last Permanent Residence: Austria; Race: Croatian; Last Residence: Kupinic; Final Destination: Wilwerding Pa; Having a ticket to final destination: Yes; Paid by: brother; Money in Possession: $20; Whether ever in U.S.: No; Joining: brother Stepusin Josef; Address: Box 309; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'3"; Complexion: brown; Hair: brown; Eyes: dark; Place of Birth: Kupinic
607 Turkalj, Ive; Ivey; Male; Single; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Croatian; Last Residence: Tabonite; Final Destination: Bessemer Mich; Having a ticket to final destination: Yes; Paid by: brother; Money in Possession: $16; Whether ever in U.S.: No; Joining: brother Lubrac Nik; Address: 2338 Carbon St; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'8"; Complexion: fair; Hair: fair; Eyes: grey; Place of Birth: Slimg
608 Cikara, Jovan; 18y; Male; Single; Occupation: Laborer; Able to read/write: No/No; Last Permanent Residence: Austria; Race: Croatian; Last Residence: Yasenica; Final Destination: McKeesport; Having a ticket to final destination: Yes; Paid by: brother; Money in Possession: $2; Whether ever in U.S.: No; Joining: brother Cihara Miko; Address: Box 422; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'5"; Complexion: brown; Hair: brown; Eyes: brown; Place of Birth: Yasenica
609 Vidic, Mile; 29y; Male; Married; Occupation: Laborer; Able to read/write: No/No; Last Permanent Residence: Austria; Race: Croatian; Last Residence: Mihaljsko; Final Destination: Wilwerding Pa; Having a ticket to final destination: Yes; Paid by: brother; Money in Possession: $4.00; Whether ever in U.S.: No; Joining: brother Niclos Popavic; Address: none listed; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'7"; Complexion: brown; Hair: brown; Eyes: brown; Place of Birth: Kralinga
610 Dancula, Marko; 23y; Male; Single; Occupation: Laborer; Able to read/write: No/No; Last Permanent Residence: Austria; Race: Croatian; Last Residence: Vrginmost; Final Destination: Export Pa; Having a ticket to final destination: Yes; Paid by: brother in law; Money in Possession: $12; Whether ever in U.S.: No; Joining: brother in law Milovan Brelic; Address: Export Pa; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'3"; Complexion: fair; Hair: fair; Eyes: blue; Place of Birth: Sjenicak
611 Bek, Rudolf; 14y; Male; Single; Occupation: Laborer; Able to read/write: No/No; Last Permanent Residence: Austria; Race: Croatian; Last Residence: Tocice; Final Destination: Dawson Pa; Having a ticket to final destination: Yes; Paid by: father; Money in Possession: $8; Whether ever in U.S.: No; Joining: Father Bek Fronijo; Address: Dawson Pa Lafayette Co; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 4'8"; Complexion: fair; Hair: fair; Eyes: blue; Place of Birth: Begovobido
612 Lapcevic, Anna; 50y; Female; Married; Occupation: Wife; Able to read/write: No/No; Last Permanent Residence: Austria; Race: Croatian; Last Residence: Trabinje; Final Destination: Chicago Ill; Having a ticket to final destination: Yes; Paid by: husband; Money in Possession: $20; Whether ever in U.S.: No; Joining: Husband Lapcevic Gjuro; Address: 9427 Ewing Ave; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'2"; Complexion: brown; Hair: brown; Eyes: brown; Place of Birth: Trebinje
613 Lapcevic, Dragica; 16y; Female; Single; Occupation: Servant; Able to read/write: No/No; Last Permanent Residence: Austria; Race: Croatian; Last Residence: Trabinje; Final Destination: Chicago Ill; Having a ticket to final destination: Yes; Paid by: father; Money in Possession: $20; Whether ever in U.S.: No; Joining: Lapcevic Gjuro; Address: 9427 Ewing Ave; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'1"; Complexion: brown; Hair: brown; Eyes: brown; Place of Birth: Trebinje
614 Lapcevic, Petra; 17y; Female; Married; Occupation: Servant; Able to read/write: No/No; Last Permanent Residence: Austria; Race: Croatian; Last Residence: Trabinje; Final Destination: Chicago Ill; Having a ticket to final destination: Yes; Paid by: father; Money in Possession: none listed; Whether ever in U.S.: No; Joining: Lapcevic Gjuro; Address: 9427 Ewing Ave; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 4'10"; Complexion: brown; Hair: brown; Eyes: blue; Place of Birth: Trebinje
615 Mavojlovic, Milice; 33y; Female; Married; Occupation: Wife; Able to read/write: No/No; Last Permanent Residence: Austria; Race: Croatian; Last Residence: Vrginmost; Final Destination: Export Pa; Having a ticket to final destination: Yes; Paid by: husband; Money in Possession: $9; Whether ever in U.S.: No; Joining: Husband Mavojlovic Gjuro; Address: West Moreland Co.; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'1"; Complexion: brown; Hair: brown; Eyes: brown; Place of Birth: Bielicu
616 Novosel, Jelsa; 38y; Female; Married; Occupation: Wife; Able to read/write: No/No; Last Permanent Residence: Austria; Race: Croatian; Last Residence: Petrovina; Final Destination: Smithfield Pa; Having a ticket to final destination: Yes; Paid by: husband; Money in Possession: $6; Whether ever in U.S.: No; Joining: Husband Novosel Gjuro; Address: none listed; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'4"; Complexion: fair; Hair: brown; Eyes: blue; Place of Birth: Petrovina Note: "Hospital" and "Discharged" were stamped next to this passenger, but no reason for admission to hospital was given.
617 Novosel, Petronila; 3y; Female; Occupation: Child; Able to read/write: No/No; Last Permanent Residence: Austria; Race: Croatian; Last Residence: Petrovina; Final Destination: Smithfield Pa; Having a ticket to final destination: Yes; Paid by: father; Money in Possession: none listed; Whether ever in U.S.: No; Joining: Husband Novosel Gjuro; Address: none listed; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'4"; Complexion: fair; Hair: brown; Eyes: blue; Place of Birth: Petrovina Note: "Hospital" and "Discharged" were stamped next to this passenger, but no reason for admission to hospital was given.
618 Gjurinec, Teresa; 27y; Female; Married; Occupation: Wife; Able to read/write: No/No; Last Permanent Residence: Austria; Race: Croatian; Last Residence: Pater Corstec; Final Destination: Shousetown (Pa); Having a ticket to final destination: Yes; Paid by: husband; Money in Possession: $18; Whether ever in U.S.: No; Joining: Husband Gjurinec Ignaz; Address: none listed; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'3"; Complexion: brown; Hair: brown; Eyes: brown; Place of Birth: Ivanec
619 Bilant, Valent; 36y; Male; Married; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Croatian; Last Residence: Sv. Jana; Final Destination: Tridon? (Cal); Having a ticket to final destination: Yes; Paid by: brother; Money in Possession: $12; Whether ever in U.S.: No; Joining: brother Belan; Address: none listed; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'7"; Complexion: brown; Hair: brown; Eyes: brown; Place of Birth: Sv. Jana
620 Lakotic, Kuzman; 17y; Male; Single; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Croatian; Last Residence: Viscovci; Final Destination: Calumet Mich; Having a ticket to final destination: Yes; Paid by: brother; Money in Possession: $12; Whether ever in U.S.: No; Joining: brother Lakotic Franjo; Address: none listed; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'7"; Complexion: brown; Hair: fair; Eyes: brown; Place of Birth: Pazoga
621 Vucic, Maria; 41y; Female; Married; Occupation: Wife; Able to read/write: No/No; Last Permanent Residence: Austria; Race: Croatian; Last Residence: Groinica; Final Destination: Calumet Mich; Having a ticket to final destination: Yes; Paid by: husband; Money in Possession: $12; Whether ever in U.S.: No; Joining: husband Vucic Martin; Address: Box 49; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'2"; Complexion: brown; Hair: brown; Eyes: brown; Place of Birth: Girojnica
622 Vucic, Maria; 11y; Female; Occupation: Child; Able to read/write: No/No; Last Permanent Residence: Austria; Race: Croatian; Last Residence: Groinica; Final Destination: Calumet Mich; Having a ticket to final destination: Yes; Paid by: none listed; Money in Possession: none listed; Whether ever in U.S.: No; Joining: Vucic Martin; Address: Box 49; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 4'10"; Complexion: brown; Hair: fair; Eyes: brown; Place of Birth: Girojnica
623 Vucic, Olga; 9y; Female; Occupation: Child; Able to read/write: No/No; Last Permanent Residence: Austria; Race: Croatian; Last Residence: Groinica; Final Destination: Calumet Mich; Having a ticket to final destination: Yes; Paid by: none listed; Money in Possession: none listed; Whether ever in U.S.: No; Joining: Vucic Martin; Address: Box 49; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 4'7"; Complexion: brown; Hair: fair; Eyes: brown; Place of Birth: Girojnica
624 Marinic, Joso; 25y; Male; Single; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Croatian; Last Residence: Carspoljc; Final Destination: McKeesport Pa; Having a ticket to final destination: Yes; Paid by: brother in law; Money in Possession: $ 6; Whether ever in U.S.: No; Joining: brother in law Magdic Anton; Address: 401-405 Jerome St; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'7"; Complexion: light; Hair: fair; Eyes: grey; Place of Birth: Carspolje
625 Gracan, Janko; 13y; Male; Single; Occupation: Laborer; Able to read/write: No/No; Last Permanent Residence: Austria; Race: Croatian; Last Residence: Podmelnica; Final Destination: Bessemer Mich; Having a ticket to final destination: Yes; Paid by: father; Money in Possession: $8; Whether ever in U.S.: No; Joining: father Gracan Sime; Address: none listed; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'2"; Complexion: brown; Hair: fair; Eyes: dark; Place of Birth: Slucelj
626 Rozic, Miko; 16y; Male; Single; Occupation: Laborer; Able to read/write: No/No; Last Permanent Residence: Austria; Race: Croatian; Last Residence: Sv. Jana; Final Destination: Rochester Pa; Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $ 10; Whether ever in U.S.: No; Joining: brother in law Belan Alois Fridoin; Address: none listed; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'2"; Complexion: brown; Hair: black; Eyes: dark; Place of Birth: Sv. Jana
627 ?es??ot, Janko (Note: First letter of surname was obliterated due to imperfection in film. 4th and 5th letters could be fr.); 37y; Male; Married; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Croatian; Last Residence: Lepic; Final Destination: Etna Pa; Having a ticket to final destination: Yes; Paid by: cousin; Money in Possession: $12; Whether ever in U.S.: No; Joining: cousin Vidnice Stefan; Address: 49 8th St; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Dr Cert dislocation hip; Deformed or Crippled: lame; Height: 5'9"; Complexion: brown; Hair: fair; Eyes: grey; Place of Birth: Lepic
628 Sertic, Luka; 17y; Male; Single; Occupation: Laborer; Able to read/write: No/No; Last Permanent Residence: Austria; Race: Croatian; Last Residence: Kamenica; Final Destination: Calumet Mich; Having a ticket to final destination: Yes; Paid by: uncle; Money in Possession: $15; Whether ever in U.S.: No; Joining: uncle Sertic Pave; Address: 212 8th St; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'5"; Complexion: brown; Hair: fair; Eyes: grey; Place of Birth: Brinje
629 Gurovic, Anica; 22y; Female; Single; Occupation: Laborer; Able to read/write: No/No; Last Permanent Residence: Austria; Race: Slovac; Last Residence: Trabinje; Final Destination: De Kalb Ill; Having a ticket to final destination: Yes; Paid by: herself; Money in Possession: $15; Whether ever in U.S.: No; Joining: brother Gurovic Jovo; Address: 512 Main St; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'3"; Complexion: brown; Hair: auburn; Eyes: grey; Place of Birth: Trabinje
National Archives and Records Administration, Film T715, Reel 906.
Transcribed by Maryann E. Rigali a member of the
Immigrant Ships Transcribers Guild
6 February 2003
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