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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.
721 Ravini, Maria 722 Ravini, Josephina 723 Hrovatin, Johan 724 Demark, Bernard 725 Causich, Tomo 726 Irio, Ioni 727 Cuk, Risto 728 Kovai, Lazo 729 Serelj, Milan 730 Milkovic, Gyorgyo 731 Virlic, Sava 732 Rigiacic, Hamid 733 Kukurich, Vasso 734 Lecic, Risto 735 Lusic, Vladimir 736 Dursum, Milos 737 Milojevich, Jovan 738 Popovac, Gojo 739 Rajak, Lazo 740 Rajak, Mara 741 Ciller, Alois 742 Pinterits, Anna 743 Knull, Katarina 744 Yenakovites, Josef 745 Jager, Matyas 746 Ackerman, Lipot 747 Zacek, Jan 748 Micek, Martin 749 Horvath, Erno 750 Bartaliky, Hermina
721 Ravini, Maria; 33y; Female; Married; Occupation: Wife; Able to read/write: No/No; Last Permanent Residence: Austria; Race: Croatian; Last Residence: Capodistra; Final Destination: S. Francisco Cal; Having a ticket to final destination: Yes; Paid by: herself; Money in Possession: $10; Whether ever in U.S.: No; Joining: Husband Frank Ravini; Address: Post Albion Camp 3 Mendocino Cal; 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: light; Hair: black; Eyes: dark; Place of Birth: Gamignana
722 Ravini, Josephina; 11y; Female; Single; Occupation: Daughter; Able to read/write: No/No; Last Permanent Residence: Austria; Race: Croatian; Last Residence: Capodistra; Final Destination: S. Francisco Cal; Having a ticket to final destination: not listed; Paid by: not listed; Money in Possession: not listed; Whether ever in U.S.: No; Joining: Father Frank Ravini; Address: Post Albion Camp 3 Mendocino Cal; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Impetigo; Deformed or Crippled: No; Height: not listed; Complexion: not listed; Hair: not listed; Eyes: not listed; Place of Birth: not listed
723 Hrovatin, Johan; 25y; Male; Single; Occupation: Farm Lab; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Croatian; Last Residence: Rozza; Final Destination: St. Louis (Mo); Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $40; Whether ever in U.S.: No; Joining: Friend Provan Michele; Address: 2700 Consean Ave; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'7"; Complexion: brown; Hair: auburn; Eyes: grey; Place of Birth: Rozzo
724 Demark, Bernard; 21y; Male; Single; Occupation: Farm Lab; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Croatian; Last Residence: Capodistra; Final Destination: St. Louis (Mo); Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $10; Whether ever in U.S.: No; Joining: Uncle Roko Demark; Address: 2827 La Salle St; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'9"; Complexion: brown; Hair: auburn; Eyes: grey; Place of Birth: Goronserci
725 Causich, Tomo; 37y; Male; Married; Occupation: Farm Lab; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Herzogovinian; Last Residence: Klicovici; Final Destination: Butte (Mont); Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $15; Whether ever in U.S.: No; Joining: Cousin Blago Lepetich; Address: Box 116; 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: brown; Hair: black; Eyes: grey; Place of Birth: Klicovici
726 Irio, Ioni; 19y; Male; Single; Occupation: Farm Lab; Able to read/write: No/No; Last Permanent Residence: Austria; Race: Herzogovinian; Last Residence: Zavale; Final Destination: Los Angeles (Cal); Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $30; Whether ever in U.S.: No; Joining: Brother Pero Yorich; Address: 757 Terr. High; 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: Zavale
727 Cuk, Risto; 16y; Male; Single; Occupation: Farm Lab; Able to read/write: No/No; Last Permanent Residence: Austria; Race: Herzogovinian; Last Residence: Velicani; Final Destination: Trementon NY; Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $16; Whether ever in U.S.: No; Joining: Cousin Malleo Lebesh; Address: Box Office 33 N.Y.; 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: brown; Place of Birth: Veliciani
728 Kovai, Lazo; 26y; Male; Single; Occupation: Farm Lab; Able to read/write: No/No; Last Permanent Residence: Austria; Race: Herzogovinian; Last Residence: Vlolonci; Final Destination: Norfolk Conn; Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $15; Whether ever in U.S.: No; Joining: Friend Besso Vilognae; Address: Box 60; 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: auburn; Eyes: grey; Place of Birth: Vlolonic
729 Serelj, Milan; 16y; Male; Single; Occupation: Farm Lab; Able to read/write: No/No; Last Permanent Residence: Austria; Race: Herzogovinian; Last Residence: Kositi; Final Destination: N. York; Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $16; Whether ever in U.S.: No; Joining: Cousin Iesulj Gjuro; Address: 583 11th Ave; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'7"; Complexion: brown; Hair: auburn; Eyes: grey; Place of Birth: Kositi
730 Milkovic, Gyorgyo; 21y; Male; Single; Occupation: Farm Lab; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Herzogovinian; Last Residence: Trebinje; Final Destination: Chicago (Ill); Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $16; Whether ever in U.S.: No; Joining: Cousin Yoso Opkovic; Address: 1104 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: brown; Hair: auburn; Eyes: grey; Place of Birth: Trebinje
731 Virlic, Sava; 18y; Male; Single; Occupation: Farm Lab; Able to read/write: No/No; Last Permanent Residence: Austria; Race: Herzogovinian; Last Residence: Kalide; Final Destination: N. York; Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $15; Whether ever in U.S.: No; Joining: Cousin Niko Vuhi; Address: 533 W 40 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: auburn; Eyes: grey; Place of Birth: Kalide
732 Rigiacic, Hamid; 31y; Male; Single; Occupation: Farm Lab; Able to read/write: No/No; Last Permanent Residence: Austria; Race: Herzogovinian; Last Residence: Tubrinje; 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 Ahmed Zeco; Address: 9012 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: brown; Hair: auburn; Eyes: grey; Place of Birth: Kalide
733 Kukurich, Vasso; 20y; Male; Single; Occupation: Farm Lab; Able to read/write: No/No; Last Permanent Residence: Austria; Race: Herzogovinian; Last Residence: Polici; Final Destination: Chicago (Ill); Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $12; Whether ever in U.S.: No; Joining: Cousin Occini Luganio; Address: 898 Clibourn Ave; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'6"; Complexion: brown; Hair: auburn; Eyes: grey; Place of Birth: Polici
734 Lecic, Risto; 50y; Male; Married; Occupation: Farm Lab; Able to read/write: No/No; Last Permanent Residence: Austria; Race: Herzogovinian; Last Residence: Mostav; Final Destination: Chicago (Ill); Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $10; Whether ever in U.S.: No; Joining: Brother Bosko Lecic; Address: Klajban Ave 898 (Note: this may be Clybourn Ave., see #733, 735); Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'10"; Complexion: light; Hair: auburn; Eyes: grey; Place of Birth: Indrijelovicci
735 Lusic, Vladimir; 26y; Male; Married; Occupation: Farm Lab; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Herzogovinian; Last Residence: Mostav; Final Destination: Chicago (Ill); Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $10; Whether ever in U.S.: No; Joining: Friend Luka Mijanovich; 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: 5'7"; Complexion: brown; Hair: auburn; Eyes: brown; Place of Birth: Scenica
736 Dursum, Milos; 18y; Male; Single; Occupation: Farm Lab; Able to read/write: No/No; Last Permanent Residence: Austria; Race: Herzogovinian; Last Residence: Mostav; Final Destination: Chicago (Ill); Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $10; Whether ever in U.S.: No; Joining: cousin Radovan Dursum; Address: 1104 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: 5'8"; Complexion: light; Hair: auburn; Eyes: brown; Place of Birth: Ljubonov
737 Milojevich, Jovan; 19y; Male; Single; Occupation: Farm Lab; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Herzogovinian; Last Residence: Trebinje; Final Destination: Jackson Amador (Col); Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $10; Whether ever in U.S.: No; Joining: Brother Gjuro Milojevich; Address: Box 6 Jackson Amador County; 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: Rorija Glovi?? (Note: End of name unreadable due to tear in original list.)
738 Popovac, Gojo; 19y; Male; Single; Occupation: Farm Lab; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Herzogovinian; Last Residence: Mostav; Final Destination: Chicago (Ill); Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $10; Whether ever in U.S.: No; Joining: cousin Milos Mijanovich; 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: 5'8"; Complexion: light; Hair: auburn; Eyes: brown; Place of Birth: Padosse
739 Rajak, Lazo; 26y; Male; Married; Occupation: Farm Lab; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Herzogovinian; Last Residence: U. S.; Final Destination: N. York; Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $40; Whether ever in U.S.: 1903-1907 N. York; Joining: cousin Nikole Radic; Address: 583 11 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: brown; Place of Birth: Lunbinje
740 Rajak, Mara; 20y; Female; Single; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Herzogovinian; Last Residence: Lumbrig; Final Destination: N. York; Having a ticket to final destination: Yes; Paid by: not listed; Money in Possession: not listed; Whether ever in U.S.: no; Joining: cousin Nikole Radic; Address: 583 11 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: brown; Place of Birth: Lunbinje
741 Ciller, Alois; 34y; Male; Married; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: German; Last Residence: Perovic; Final Destination: Chicago (Ill); Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $ 58; Whether ever in U.S.: no; Joining: Friend Jacob Wozal; Address: 693 W 20th 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: brown; Place of Birth: Pernici
742 Pinterits, Anna; 18y; Female; Single; Occupation: Servant; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: German; Last Residence: Kophara; Final Destination: Steelton (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 Adam Pierics; Address: Mayer St 473; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 4'11"; Complexion: brown; Hair: auburn; Eyes: brown; Place of Birth: Kojobara
743 Knull, Katarina; 17y; Female; Single; Occupation: Servant; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: German; Last Residence: Kophara; Final Destination: Harrisburg (Pa); Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $ 10; Whether ever in U.S.: no; Joining: Uncle Franz Pierics; Address: Blackbery Ave 330; 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: light; Hair: auburn; Eyes: brown; Place of Birth: Kojobara Note: "with father 27 #29" is noted for this passenger. This note means her father is Passenger #29 on Page #27 of the original manifest, each page having 30 passengers numbered 1-30. ISTG policy is to number each passenger consecutively from beginning to end to give each a unique number for future reference. In consecutive numbers, "27 #29" translates to Passenger #809.
744 Yenakovites, Josef; 26y; Male; Married; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: German; Last Residence: Balf; Final Destination: Harrisburg (Pa); Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $ 10; Whether ever in U.S.: no; Joining: Friend Rudolf Heiner; Address: 561 S. 10th St.; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'6"; Complexion: light; Hair: auburn; Eyes: brown; Place of Birth: Balf
745 Jager, Matyas; 35y; Male; Married; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: German; Last Residence: Balf; Final Destination: Harrisburg (Pa); Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $ 10; Whether ever in U.S.: no; Joining: Friend Rudolf Heiner; Address: 561 S. 10th St.; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'11"; Complexion: brown; Hair: auburn; Eyes: brown; Place of Birth: Balf
746 Ackerman, Lipot; 28y; Male; Married; Occupation: Tailor; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Hebrew; Last Residence: Munkass; Final Destination: N. York; Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $ 10; Whether ever in U.S.: no; Joining: Friend Dick Lina; Address: 339-41 E 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: 5'7"; Complexion: brown; Hair: auburn; Eyes: brown; Place of Birth: Nimkacs
747 Zacek, Jan; 48y; Male; Married; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Slovak; Last Residence: U. S.; Final Destination: Chicago Il; Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $ 19; Whether ever in U.S.: 1905/1907 Chicago (Ill); Joining: Brother in law Mathias Schneider; Address: 705 S. Jefferson; 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: auburn; Eyes: brown; Place of Birth: Gajar
748 Micek, Martin; 33y; Male; Married; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Slovak; Last Residence: Gajar; Final Destination: Chicago Il; Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $ 16; Whether ever in U.S.: no; Joining: Brother in law Matias Marusa; Address: 114 18th St; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'2"; Complexion: brown; Hair: auburn; Eyes: brown; Place of Birth: Gajar
749 Horvath, Erno; 31y; Male; Married; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Magyar; Last Residence: Windormja; Final Destination: Masillon (Ohio); Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $ 12; Whether ever in U.S.: no; Joining: Brother in law Bakos Lajos; Address: Junksson St 64 (Note: Could be Junction 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: auburn; Eyes: brown; Place of Birth: Windermja
750 Bartaliky, Hermina; 18y; Female; Single; Occupation: Servant; Able to read/write: Yes/Yes; Last Permanent Residence: Austria; Race: Slovak; Last Residence: Magyarfala; Final Destination: N. York; Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $ 12; Whether ever in U.S.: no; Joining: Cousin Mary Belsky; Address: 238 W 136th St.; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'1"; Complexion: brown; Hair: auburn; Eyes: brown; Place of Birth: Magyarfalva
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
World Vital Records - An Affordable Option
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