Immigrant Ships
Transcribers Guild

SS La Bretagne


Page 29 of 49

Le Havre, France to New York
28 May 1907

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.
841 Bukovsky, Matyas
842 Bukovsky, Betta
843 Isildos, Istvan
844 Puskac, Josefina
845 Moravec, Terencz
846 Horvath, Lagos
847 Vizvari, Maria
848 Polster, Johann
849 Polster, Helena
850 Polster, Johann
851 Polak, Barbara
852 Szlezak, Franz
853 Matula, Anna
854 Sztrapak, Anna
855 Machalecz, Vinzenz
856 Kolar, Stefan
857 Kolar, Fridriska
858 Kolar, Berta
859 Kolar, Aloisia
860 Maszar, Victoria
861 Nesz, Fulop
862 Yankovich, Janos
863 Rusnak, Janos
864 Kotyesz, Tomas
865 Matula, Terencz
866 Skolnik, Helene
867 Skolnik, Stefanie
868 Szukola, Juliana
869 Szukola, Rosalia
870 Szanto, Janos


841 Bukovsky, Matyas husb; 24y; Male; Married; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Hungaria; Race: Slovak; Last Residence: Drinburg; 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: brother in law Jakob Drahos; Address: 1523 S.S. 49 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: auburn; Eyes: grey; Place of Birth: Drinburg
842 Bukovsky, Betta wife; 24y; Female; Married; Occupation: Wife; Able to read/write: Yes/Yes; Last Permanent Residence: Hungaria; Race: Slovak; Last Residence: Drinburg; Final Destination: Chicago Ill; Having a ticket to final destination: Yes; Paid by: husband; Money in Possession: none listed; Whether ever in U.S.: No; Joining: brother in law Jakob Drahos; Address: 1523 S.S. 49 St; 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: light; Hair: fair; Eyes: grey; Place of Birth: Lab
843 Isildos, Istvan; 30y; Male; Single; Occupation: laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Hungaria; Race: Magyar; Last Residence: Garc; Final Destination: S. Milwaukee (Wis); Having a ticket to final destination: No; Paid by: himself; Money in Possession: $ 24; Whether ever in U.S.: No; Joining: friend Bene Sandor; Address: Box 823; 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: Garc
844 Puskac, Josefina; 21y; Female; Married; Occupation: Wife; Able to read/write: Yes/Yes; Last Permanent Residence: Hungaria; Race: Slovak; Last Residence: Lab; Final Destination: Chicago Ill; Having a ticket to final destination: Yes; Paid by: husband; Money in Possession: $ 13; Whether ever in U.S.: No; Joining: husband Puskac Josef; Address: Ida St 4803; 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: Lab
845 Moravec, Terencz; 42y; Male; Married; Occupation: laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Hungaria; Race: Slovak; Last Residence: Dinburg; 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: brother Martinecz Georg; Address: 343 Kustin 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: Dinburg
846 Horvath, Lagos; 41y; Male; Married; Occupation: laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Hungaria; Race: Magyar; Last Residence: Tilpecz; Final Destination: Caldwell NJ; Having a ticket to final destination: No; Paid by: himself; Money in Possession: $ 15; Whether ever in U.S.: 1905 Caldwell; Joining: Friend Raczi Janos; Address: Caldwell NJ; 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: brown; Place of Birth: Telpacz
847 Vizvari, Maria; 24y; Female; Single; Occupation: Servt; Able to read/write: Yes/Yes; Last Permanent Residence: Hungaria; Race: Slovak; Last Residence: Csari; Final Destination: N. York; Having a ticket to final destination: No; Paid by: himself; Money in Possession: $ 16; Whether ever in U.S.: No; Joining: brother in law Josef Haluska; Address: 241 W 109 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: auburn; Eyes: brown; Place of Birth: Csari
848 Polster, Johann husb; 29y; Male; Married; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Hungaria; Race: German; Last Residence: Gerersdorf; Final Destination: Chicago (Ill); Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $ 60; Whether ever in U.S.: No; Joining: brother in law Michael Keilvirts; Address: 434 W 43 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: fair; Eyes: brown; Place of Birth: Gerersdorf
849 Polster, Helena wife; 23y; Female; Married; Occupation: Wife; Able to read/write: Yes/Yes; Last Permanent Residence: Hungaria; Race: German; Last Residence: Gerersdorf; Final Destination: Chicago (Ill); Having a ticket to final destination: Yes; Paid by: husb; Money in Possession: none listed; Whether ever in U.S.: No; Joining: brother in law Michael Keilvirts; Address: 434 W 43 St; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Matron Memo Pgt AHT; Deformed or Crippled: No; Height: 5"1"; Complexion: light; Hair: auburn; Eyes: brown; Place of Birth: Gerersdorf
850 Polster, Johann son; 10m; Male; Single; Occupation: Child; Able to read/write: Yes/Yes; Last Permanent Residence: Hungaria; Race: German; Last Residence: Gerersdorf; 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: brother in law Michael Keilvirts; Address: 434 W 43 St; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: none listed; Complexion: none listed; Hair: none listed; Eyes: none listed; Place of Birth: none listed
851 Polak, Barbara; 23y; Female; Single; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Hungaria; Race: Slovak; Last Residence: Csari; Final Destination: North Tarrytown NY; Having a ticket to final destination: No; Paid by: himself; Money in Possession: $ 14; Whether ever in U.S.: No; Joining: Uncle Paul Polak Dolestck; Address: No. Tarrytown NY; 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: fair; Eyes: grey; Place of Birth: Csari
852 Szlezak, Franz; 30y; Male; Married; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Hungaria; Race: Slovak; Last Residence: Stompa; Final Destination: Blandburg (Pa.); Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $ 25; Whether ever in U.S.: No; Joining: Brother Szlezak Damian; Address: Cambria Co.; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'6"; Complexion: light; Hair: auburn; Eyes: brown; Place of Birth: Stomfa
853 Matula, Anna; 16y; Female; Single; Occupation: Servt; Able to read/write: Yes/Yes; Last Permanent Residence: Hungaria; Race: Slovak; Last Residence: St Gyorgy; Final Destination: N. York; Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $ 11; Whether ever in U.S.: No; Joining: Brother Matula Karol; Address: Greenwich St 38; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Drs Memo Conj. (Note: "Conj." could mean Conjunctivitis.); Deformed or Crippled: No; Height: 5'1"; Complexion: light; Hair: auburn; Eyes: brown; Place of Birth: St Gyorgy
854 Sztrapak, Anna; 16y; Female; Single; Occupation: Servt; Able to read/write: Yes/Yes; Last Permanent Residence: Hungaria; Race: Slovak; Last Residence: Bazin; Final Destination: N. York; Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $ 11; Whether ever in U.S.: No; Joining: Friend Ma?k Kosztka; Address: Oak St 7; 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: light; Hair: auburn; Eyes: brown; Place of Birth: Bazin
855 Machalecz, Vinzenz; 25y; Male; Married; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Hungaria; Race: Slovak; Last Residence: Brezana; Final Destination: Pittsburg (Pa); Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $ 10; Whether ever in U.S.: No; Joining: Friend Josef Stolnik; Address: 2 W?rd Irwin St 55; 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: blue; Place of Birth: Brez?ova
856 Kolar, Stefan father; 48y; Male; Married; Occupation: Laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Hungaria; Race: Slovak; Last Residence: Csari; Final Destination: N. York; Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $ 80; Whether ever in U.S.: 1893-1901 Toskil NY; Joining: Son Majk Kollar; Address: 1296 1th 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: Csari
857 Kolar, Fridriska dgt; 15y; Female; Single; Occupation: Daughter; Able to read/write: Yes/Yes; Last Permanent Residence: Hungaria; Race: Slovak; Last Residence: Csari; Final Destination: N. York; Having a ticket to final destination: Yes; Paid by: father; Money in Possession: none listed; Whether ever in U.S.: No; Joining: Brother Majk Kollar; Address: 1296 1th Ave; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 4'11"; Complexion: light; Hair: auburn; Eyes: brown; Place of Birth: none listed
858 Kolar, Berta dgt; 10y; Female; Single; Occupation: Daughter; Able to read/write: Yes/Yes; Last Permanent Residence: Hungaria; Race: Slovak; Last Residence: Csari; Final Destination: N. York; Having a ticket to final destination: Yes; Paid by: father; Money in Possession: none listed; Whether ever in U.S.: No; Joining: Brother Majk Kollar; Address: 1296 1th Ave; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: none listed; Complexion: none listed; Hair: none listed; Eyes: none listed; Place of Birth: none listed
859 Kolar, Aloisia dgt; 8y; Female; Single; Occupation: Daughter; Able to read/write: Yes/Yes; Last Permanent Residence: Hungaria; Race: Slovak; Last Residence: Csari; Final Destination: N. York; Having a ticket to final destination: Yes; Paid by: father; Money in Possession: none listed; Whether ever in U.S.: No; Joining: Brother Majk Kollar; Address: 1296 1th Ave; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: none listed; Complexion: none listed; Hair: none listed; Eyes: none listed; Place of Birth: none listed
860 Maszar, Victoria; 20y; Female; Married; Occupation: Wife; Able to read/write: Yes/Yes; Last Permanent Residence: Hungaria; Race: Slovak; Last Residence: Szonolinsz; Final Destination: McKees Rocks (Pa); Having a ticket to final destination: Yes; Paid by: husb; Money in Possession: $ 13; Whether ever in U.S.: No; Joining: Husband Tomas Masar; Address: Ohio St 146 McKees Rocks (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"5"; Complexion: light; Hair: auburn; Eyes: brown; Place of Birth: Szonolinosko
861 Nesz, Fulop; 14y; Male; Single; Occupation: laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Hungaria; Race: German; Last Residence: Verbasz; Final Destination: Cleveland Ohio; Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $5; Whether ever in U.S.: No; Joining: Father Filip Nesz; Address: 1728 E 38 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: light; Hair: fair; Eyes: brown; Place of Birth: Nemoze
862 Yankovich, Janos; 42y; Male; Married; Occupation: laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Hungaria; Race: Slovak; Last Residence: Alsnasfolva; Final Destination: Garman (Pa); Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $20; Whether ever in U.S.: No; Joining: cousin Marczink?res Stefan; Address: Cambria Co.; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: 5'10"; Complexion: light; Hair: auburn; Eyes: brown; Place of Birth: Alonasfalva
863 Rusnak, Janos; 26y; Male; Married; Occupation: laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Hungaria; Race: Slovak; Last Residence: Alsnasfolva; Final Destination: Garman (Pa); Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $20; Whether ever in U.S.: No; Joining: brother in law John Macsiek; Address: Box 43 Cambria 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: Alonasfalva
864 Kotyesz, Tomas; 44y; Male; Married; Occupation: laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Hungaria; Race: Slovak; Last Residence: Alsnasfolva; Final Destination: Garman (Pa); Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $17; Whether ever in U.S.: No; Joining: cousin Yuseta Ignac; Address: Cambria 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: blue; Place of Birth: Alonasfalva
865 Matula, Terencz; 24y; Male; Married; Occupation: laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Hungaria; Race: Slovak; Last Residence: St Gyorgy; Final Destination: N. York; Having a ticket to final destination: Yes; Paid by: himself; Money in Possession: $14; Whether ever in U.S.: No; Joining: Uncle Matula Karl; Address: Greenwich St 38; 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: blue; Place of Birth: St Gyorgy
866 Skolnik, Helene mo; 28y; Female; Married; Occupation: Wife; Able to read/write: Yes/Yes; Last Permanent Residence: Hungaria; Race: Slovak; Last Residence: Yavar; Final Destination: Pittsburg (Pa); Having a ticket to final destination: Yes; Paid by: husb; Money in Possession: $23; Whether ever in U.S.: No; Joining: Husband Paul Skolnik; Address: 2 Word Yeurin St 55; 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: Kavar
867 Skolnik, Stefanie dgt; 3y; Female; Single; Occupation: Daughter; Able to read/write: Yes/Yes; Last Permanent Residence: Hungaria; Race: Slovak; Last Residence: Yavar; Final Destination: Pittsburg (Pa); Having a ticket to final destination: Yes; Paid by: fath; Money in Possession: none listed; Whether ever in U.S.: No; Joining: father Paul Skolnik; Address: 2 Word Yeurin St 55; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: none listed; Complexion: light; Hair: auburn; Eyes: brown; Place of Birth: none listed
868 Szukola, Juliana mo; 35y; Female; wid; Occupation: Svt; Able to read/write: Yes/Yes; Last Permanent Residence: Hungaria; Race: German; Last Residence: Verbasz; Final Destination: Cleveland (Ohio); Having a ticket to final destination: Yes; Paid by: fath; Money in Possession: $ 25; Whether ever in U.S.: No; Joining: Sister Victoria Palasty; Address: Washington Ave 1322; 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: Kula
869 Szukola, Rosalia dgt; 10y; Female; Single; Occupation: Child; Able to read/write: Yes/Yes; Last Permanent Residence: Hungaria; Race: German; Last Residence: Verbasz; Final Destination: Cleveland (Ohio); Having a ticket to final destination: Yes; Paid by: mother; Money in Possession: none listed; Whether ever in U.S.: No; Joining: Aunte Victoria Palasty; Address: Washington Ave 1322; Whether ever in prison, etc: No; Polygamist: No; Anarchist: No; Offer to labor in US: No; Health: Good; Deformed or Crippled: No; Height: none listed; Complexion: none listed; Hair: none listed; Eyes: none listed; Place of Birth: none listed
870 Szanto, Janos; 24y; Male; Single; Occupation: laborer; Able to read/write: Yes/Yes; Last Permanent Residence: Hungaria; Race: German; Last Residence: Dovecske; 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 Dechart Heinrich; Address: Mohns St 456; 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: blue; Place of Birth: Dorveske

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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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