Brig Excelsior
Hamilton, Bermuda to New York
18 November 1867

DISTRICT OF NEW YORK - PORT OF NEW YORK
I, Orville Cooper, Master of the Brig Excelsior, do solemnly, sincerely, and truly swear that the following List or Manifest, subscribed by me, and now delivered by me to the Collector of the Customs of the Collection District of New York, is a full and perfect List of all the Passengers taken on board the said Brig at Hamilton Ba from which Port the said Brig has now arrived; and that on said List is truly designated the age, the sex, and the occupation of each of said passengers, the part of the vessel occupied by each during the passage, the country to which each belongs, and also the country of which it is intended by each to become an inhabitant; and that said List or Manifest truly sets forth the number of said Passengers who have died on said Voyage and the names and ages of those who died.
So help me God. (Signature) Orville Cooper

Sworn to this November 18 1867,
Before me. (Signature) ?????????, D.C..
List or Manifest of ALL THE PASSENGERS taken on board the Br Brig "Excelsior" whereof Cooper is Master, from Hamilton Ba burthen 140 Am tons.
Columns represent: given name and surname, age, sex, occupation, the country to which they severally belong, the country of which they intend to become inhabitants, and the part of the vessel occupied during the voyage.
             
  1  Mrs F Brownlow        40y3m    Female    Lady    Bermuda    U.S.   Cabin
  2  Mrs W^m Burgeons      30y3m    Female    Lady    Bermuda    U.S.   Cabin
  3  Mrs Melbourne         20y7m    Female    Lady    Bermuda    U.S.   Cabin
  4  Mr Potter             40y3m    Male      Agt     Bermuda    U.S.   Cabin
      
 A question mark (?) indicates a letter or a number that can not be transcribed definitely.

 
(reference: National Archives and Records Administration, Film M237, Reel  289, list 1203)

This material made available through the generous permission of the Immigrant Ship Transcribers Guild -  transcriber Phil Buckley