Manifest Extract Form 22 Columns

List #

.

Extracted information from List or Manifest at Port of Arrival

S.S.

.

Other page nums:

Sailing from

.

Arriving at

.

.

Date

.

Date

.

.

1

Line Number on List

.

.

.

.

.

2

Name in Full

.

.

.

.

.

3

Age

Years

.

.

.

.

.

Months

.

.

.

.

.

4

Sex

.

.

.

.

.

5

Married/Single

.

.

.

.

.

6

Calling/Occupation

.

.

.

.

.

7

Able to:

Read

.

.

.

.

.

Write

.

.

.

.

.

8

Nationality (Country of last principal residence)

. .

.

.

.

9

Race or People

.

.

.

.

.

10

Last Residence

.

.

.

.

.

11

Final Destination

.

.

.

.

.

12

Ticket to final destination?

.

.

.

.

.

13

Who paid passage?

.

.

.

.

.

14

Have $50? If not how much?

.

.

.

.

.

15

Ever in US before? When and where?

.

.

.

.

.

16

Joining a relative or friend? Who and where?

.

.

.

.

.

17

Ever in prison, asylum, etc?

.

.

.

.

.

18

A polygamist?

.

.

.

.

.

19

An Anarchist?

.

.

.

.

.

20

Whether coming by ...

.

.

.

.

.

21

Mental and Physical health condition

.

.

.

.

.

22

Deformed or crippled? Nature and cause.

.

.

.

.

.

.

Source info:

Extracted by:

.

Extract date:

.

Title of microfilm publication

.

NARA pub.number

.

Publisher

.

Microfilm roll #

.

Was this record was viewed at www.ellisisland.org?     Yes        No

Page #

.

The exact spelling of the primary name as indexed:

.

Copyright 2003 by Lisa Perkins. All Rights Reserved.