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.
661 Danicek, Andreas 662 Kosmac, Franz 663 Mirtelj, Alois 664 Frampus, Sebastian 665 Skubic, Michael 666 Mlahar, Franc 667 Skufca, Josef 668 Blatnik, Josef 669 Sjube, Johann 670 Bozic, Franz 671 Mikljic, Josef 672 Kastelic, Alois 673 Petrie, Franz 674 Makar, Franz 675 Kraljic, Josef 676 Kraljic, Josef son 677 Serjak, Johann 678 Zalar, Johann 679 Krstovic, Risto 680 Viscinic, Scapan 681 Sekeraz, Risto 682 Mrak, Johann 683 Ferlin, Ferdinand 684 Anzelj, Anton 685 Verbass, Johann 686 Fontana, Augusta 687 Fontana, Angela 688 Fontana, Ferruccio 689 Valentinotti, Guiseppe 690 March, Fortunato
661 Danicek, Andreas; 40y; Male; Married; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Slovenian; Last Residence: USA; Final Destination: Johnstown (Pa); Having a ticket to final destination: Yes; Paid by: Himself; Money in Possession: $10; Whether ever in U.S.: 1903/05 Ashtola (Pa); Joining: Friend Frank Sedirak; Address: Ashtola Box 15 Somerset Co.; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'8"; Complexion: Light; Hair: Fair; Eyes: Blue; Place of Birth: Catenia
662 Kosmac, Franz; 29y; Male; Married; Occupation: Laborer; Able to read/write: No/No; Last Permanent Residence: Austria; Race: Slovenian; Last Residence: Lipovc; 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: Friend Anna Jene; Address: Box 21 Randal Station; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'; Complexion: Light; Hair: Fair; Eyes: grey; Place of Birth: Lipovc
663 Mirtelj, Alois; 25y; Male; Single; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Slovenian; Last Residence: Dolenjavas; 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 Mathios; Address: Box 21 Randal Station; 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: Light; Hair: auburn; Eyes: blue; Place of Birth: Dolenjavas
664 Frampus, Sebastian; 23y; Male; Single; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Slovenian; Last Residence: Javor; Final Destination: Newcastle (Pa); Having a ticket to final destination: Yes; Paid by: Himself; Money in Possession: $10; Whether ever in U.S.: no; Joining: brother Ignaz; Address: 516 Jefferson St; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 6'1"; Complexion: Light; Hair: auburn; Eyes: grey; Place of Birth: Javor
665 Skubic, Michael; 23y; Male; Single; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Slovenian; Last Residence: Javor; Final Destination: Newcastle (Pa); Having a ticket to final destination: Yes; Paid by: Himself; Money in Possession: $10; Whether ever in U.S.: no; Joining: Friend Ignaz; Address: 516 Jefferson 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: Light; Hair: auburn; Eyes: grey; Place of Birth: Javor
666 Mlahar, Franc; 29y; Male; Married; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Slovenian; Last Residence: USA; Final Destination: Johnstown (Pa); Having a ticket to final destination: Yes; Paid by: Himself; Money in Possession: $10; Whether ever in U.S.: 1902/03 Ashtola (Pa); Joining: Brother in law Mathias Quedre; Address: Box 23 Ashtola Somerset Co.; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'3"; Complexion: Light; Hair: auburn; Eyes: grey; Place of Birth: Drusec
667 Skufca, Josef; 16y; Male; Single; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Slovenian; Last Residence: Vrb; 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: Father Martin Skufca; Address: 3847 St Clair 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: Light; Hair: fair; Eyes: grey; Place of Birth: Vrb
668 Blatnik, Josef; 27y; Male; Single; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Slovenian; Last Residence: Brundl; Final Destination: Johnstown (Pa); Having a ticket to final destination: Yes; Paid by: Himself; Money in Possession: $10; Whether ever in U.S.: no; Joining: Friend Jurj Dolozt; Address: Box 15 Ashtola Somerset Co.; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'7"; Complexion: Light; Hair: fair; Eyes: grey; Place of Birth: St. Primmo
669 Sjube, Johann; 19y; Male; Single; Occupation: Laborer; Able to read/write: No/No; Last Permanent Residence: Austria; Race: Slovenian; Last Residence: Vrb; 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: Friend Anton Tomsic; Address: St Clair St 3847; 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: auburn; Eyes: grey; Place of Birth: Vrb
670 Bozic, Franz; 37y; Male; Married; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Slovenian; Last Residence: Zdenska; Final Destination: Pueblo (Colo); Having a ticket to final destination: Yes; Paid by: Himself; Money in Possession: $15; Whether ever in U.S.: 1901/04 Canon City (Colo); Joining: Brother Joe Bozic; Address: Elm Str 1130; 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: auburn; Eyes: grey; Place of Birth: Zdenska
671 Mikljic, Josef; 17y; Male; Single; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Slovenian; Last Residence: Klein; 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: Friend Paul Krasevec; Address: St Clair Ave 3934; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'9"; Complexion: light; Hair: auburn; Eyes: grey; Place of Birth: Klein
672 Kastelic, Alois; 35y; Male; Single; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Slovenian; Last Residence: Cerovica; Final Destination: Herminie (Pa); Having a ticket to final destination: Yes; Paid by: Himself; Money in Possession: $10; Whether ever in U.S.: no; Joining: Friend Jeric Sebastian; Address: Westmoreland Co; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Loss of distal phalanx; Deformed or Crippled: Wart; Height: 5'3"; Complexion: light; Hair: auburn; Eyes: brown; Place of Birth: Cerovica
673 Petrie, Franz; 42y; Male; Married; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Slovenian; Last Residence: Sarsko; Final Destination: Cleveland (Ohio); Having a ticket to final destination: Yes; Paid by: Himself; Money in Possession: $14; Whether ever in U.S.: no; Joining: Brother in law Michael Virand; Address: Case Ave 151; 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: light; Hair: auburn; Eyes: grey; Place of Birth: Sarsko
674 Makar, Franz; 28y; Male; Married; Occupation: Laborer; Able to read/write: No/No; Last Permanent Residence: Austria; Race: Slovenian; Last Residence: Rasno; 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 in law Michael Virand; Address: Case Ave 151; 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: light; Hair: auburn; Eyes: grey; Place of Birth: Rasno
675 Kraljic, Josef; 42y; Male; Married; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Slovenian; Last Residence: Rosenbach; Final Destination: Cleveland (Ohio); Having a ticket to final destination: Yes; Paid by: Himself; Money in Possession: $20; Whether ever in U.S.: no; Joining: Brother in law Michael Virand; Address: Case Ave 151; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Lean; Deformed or Crippled: No; Height: 5'3"; Complexion: light; Hair: auburn; Eyes: grey; Place of Birth: Rosenbach
676 Kraljic, Josef son; 16y; Male; Single; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Slovenian; Last Residence: Rosenbach; Final Destination: Cleveland (Ohio); Having a ticket to final destination: Yes; Paid by: Himself; Money in Possession: none listed; Whether ever in U.S.: no; Joining: Cousin Michael Virand; Address: Case Ave 151; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Lean; Deformed or Crippled: No; Height: 5'3"; Complexion: light; Hair: auburn; Eyes: grey; Place of Birth: Laibach
677 Serjak, Johann; 28y; Male; Single; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Slovenian; Last Residence: Verbije; Final Destination: Pueblo (Colo); Having a ticket to final destination: Yes; Paid by: Himself; Money in Possession: $ 15; Whether ever in U.S.: no; Joining: cousin Joe Troutels; Address: 502 Santa Fe 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: light; Hair: auburn; Eyes: grey; Place of Birth: Verbije
678 Zalar, Johann; 36y; Male; Married; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Slovenian; Last Residence: Rosenbach; 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: cousin Michel Varant; Address: 151 Case 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: light; Hair: fair; Eyes: grey; Place of Birth: Rosenbach
679 Krstovic, Risto; 16y; Male; Single; Occupation: Farm Lab; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Herzegovinan; Last Residence: Trebinje; Final Destination: Chicago (Ill); Having a ticket to final destination: Yes; Paid by: Himself; Money in Possession: $ 15; Whether ever in U.S.: no; Joining: brother Simo Krstovic; Address: 898 Clybourn Ave; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'3"; Complexion: light; Hair: auburn; Eyes: grey; Place of Birth: Trebinje
680 Viscinic, Scapan; 18y; Male; Single; Occupation: Farm Lab; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Herzegovinan; Last Residence: Bilek; Final Destination: Chicago (Ill); Having a ticket to final destination: Yes; Paid by: Himself; Money in Possession: $ 20; Whether ever in U.S.: no; Joining: cousin Marko Jokanovic; Address: 934 Clybourn Ave; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'4"; Complexion: light; Hair: auburn; Eyes: grey; Place of Birth: Bilek
681 Sekeraz, Risto; 33y; Male; Married; Occupation: Laborer; Able to read/write: No/No; Last Permanent Residence: Austria; Race: Herzegovinan; Last Residence: Trebinje; Final Destination: Chicago (Ill); Having a ticket to final destination: Yes; Paid by: Himself; Money in Possession: $ 15; Whether ever in U.S.: no; Joining: cousin Sckerez Borlo; Address: 896 Clybourn 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: light; Hair: auburn; Eyes: grey; Place of Birth: Trebinje
682 Mrak, Johann; 18y; Male; Single; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Slovenian; Last Residence: Graz; Final Destination: Chicago (Ill); Having a ticket to final destination: Yes; Paid by: Uncle; Money in Possession: $ 15; Whether ever in U.S.: no; Joining: Uncle Jakob Vozal; Address: 6993 W 20 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: Graz
683 Ferlin, Ferdinand; 19y; Male; Single; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Slovenian; Last Residence: Migalskagora; 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: cousin Ignaz Rugel; Address: 1380 E 36 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: auburn; Eyes: grey; Place of Birth: Migalskogora
684 Anzelj, Anton; 23y; Male; Single; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Slovenian; Last Residence: Pristava; 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: cousin Franko Graca; Address: 1380 E 36 St; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 6'1"; Complexion: light; Hair: auburn; Eyes: grey; Place of Birth: Pristava
685 Verbass, Johann; 22y; Male; Single; Occupation: Laborer; Able to read/write: No/No; Last Permanent Residence: Austria; Race: Slovenian; Last Residence: Liberga; Final Destination: Herminie (Pa); Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $ 10; Whether ever in U.S.: no; Joining: Friend John Gorse; Address: Box 65 Westmoreland Co; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'5"; Complexion: light; Hair: auburn; Eyes: grey; Place of Birth: Liberga
686 Fontana, Augusta; 41y; Female; Married; Occupation: Wife; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: N Italian; Last Residence: Caoria; Final Destination: Lock Haven (Pa); Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $ 58; Whether ever in U.S.: no; Joining: Husband Gian Candido Fontana; Address: St Cloud Mary Kessler; 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: light; Hair: auburn; Eyes: brown; Place of Birth: Caoria
687 Fontana, Angela; 25y; Female; Married; Occupation: Daughter; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: N Italian; Last Residence: Caoria; Final Destination: Lock Haven (Pa); Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: none listed; Whether ever in U.S.: no; Joining: Father Gian Candido Fontana; Address: St Cloud Mary Kessler; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'6"; Complexion: light; Hair: auburn; Eyes: brown; Place of Birth: Caoria
688 Fontana, Ferruccio; 11y; Male; Single; Occupation: Daughter (Note: "Daughter" is dittoed from previous passenger.); Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: N Italian; Last Residence: Caoria; Final Destination: Lock Haven (Pa); Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: not listed; Whether ever in U.S.: no; Joining: Father Gian Candido Fontana; Address: St Cloud Mary Kessler; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 3'6"; Complexion: light; Hair: auburn; Eyes: brown; Place of Birth: Caoria
689 Valentinotti, Guiseppe; 18y; Male; Single; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: N Italian; Last Residence: Cassana; Final Destination: Vulcan (Mich); Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $ 8; Whether ever in U.S.: no; Joining: Brother Luigi Valentinotti; Address: Box 166; 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: auburn; Eyes: brown; Place of Birth: Cassana
690 March, Fortunato; 36y; Male; Married; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: N Italian; Last Residence: Molina; Final Destination: Unionstown (Pa); Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $ 16; Whether ever in U.S.: 1903/06 Pittsburg; Joining: cousin Parcisso March; Address: Neusalem (Pa); Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'7"; Complexion: light; Hair: fair; Eyes: brown; Place of Birth: Molina
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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