Department of Commerce and Labor                                          SALOON, CABIN, AND STEERAGE ALIENS MUST BE COMPLETELY MANIFESTED

        IMMIGRATION SERVICE                                                                                                 THIS SHEET IS FOR STEERAGE PASSENGERS

                 Form 1500 A

                                                                                                                                                                     -----------------------------------------------------

                        17          LIST FOR THE U.S. IMMIGRATION OFFICER AT PORT OF ARRIVAL           List 17

                                                                                                                                                                     ----------------------------------------------------

Required by the regulations of the Secretary of Commerce and Labor of the United States, under Act of Congress approved March 3, 1903, to be delivered

   to the U.S. Immigration Officer by the Commanding Officer of any vessel having such passengers on board upon arrival at a port in the United States.

Text Box: BARCELONA
Text Box: New-York  April 21
Text Box: 7
Text Box: HAMBURG         4  April  1907 

 

      S. S.                                  sailing from                                                        ,  190   Arriving at Port of                                                         ,  190

 

1

2

3

4

5

6

7

8

9

10

11

12

13

 

 

 

 

 

 

 

 

 

 

 

Whether in

By whom

No.

 

Age.

 

Married

Calling

Able to--

Nationality.

 

Last Residence.

Final Destination

Having

was

of

NAME IN FULL

Yrs

Mon

Sex

Or

Or

 

 

(Country of which

*Race or People

(Country of which

(State,

a ticket to

passage paid?

List

 

 

 

 

Single

Occupation.

Read

Write

citizen or subject.)

 

Citizen or subject.)

City, or Town

such final

 

 

 

 

 

 

 

 

 

 

 

 

 

 

destination

 

1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19

 

 

 

f

m

h wife

 

 

 

 

 

 

 

 

20

Katalin Trinsbiczas

30

yes

yes

 

 

 

 

S

 

21

Valer

9

m

s

child

yes

yes

21 25 / 19

1 / 21 / 44

 

 

S    

 

22

Alexander

6

no

no

Hungary

Roumanian

Bethlen

Portland

S    ″

husb

23

Trajan

3

 

 

 

Oreg.

S

 

24

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

2

14

15

16

17

18

19

 

 

Whether in

Whether over before in the United

 

Ever in prison of elsewhere,

 

 

No.

 

possession of

States; and if so, when and where?

Whether going to join a relative or friend; and if so,

or institution for care and

Whether

Whether

of

NAME IN FULL

$ 50, and if

Yes

If Yes

What relative or friend,

Treatment of the illness,

a Polyg-

an An-

List

 

less,

Or

Year or pe-

Where?

and his name and complete address

or supported by charity ?

amist.

archist.

 

 

how much?

No

riod of years.

 

 

If so which ?

 

 

1

 

 

no

 

 

 

no

no

 

2

 

 

 

 

 

 

 

 

 

19

 

 

 

 

 

 

 

 

 

20

Katalin Trinsbiczas

 

 

 

Husb                      Valerii   Trinsbiczas

21

Valer

None

 

 

Portland  Oreg.

22

Alexander

      4

 

 

Burnside  st.  203 1/2

23

Trajan

 

 

 

friend   Ferencz Szekely

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1

2

20

21

22

PERSONAL  DESCRIPTION

 

 

 

Wheather

Condition of

Defermed

 

 

 

 

 

No.

 

----

Health,

Or Crippled

Heigh

 

Color of ---

 

 

of

NAME IN FULL

----

Mental and

Nature, lengh

 

 

Complexion

 

 

Marks of identification.

PLACE OF BIRTH

List

 

----

Physical.

of time,

Feet

Inches.

 

Hair.

Eyes.

 

 

 

 

United States

 

and cause

 

 

 

 

 

 

 

1

 

no

good

no

 

 

 

 

 

none

 

2

 

 

 

 

 

 

 

 

 

 

 

19

 

 

 

 

 

 

 

 

 

none

 

20

Katalin Trinsbiczas

5

 

brown

brown

Bethlen

21

Valer

 

 

 

Bucarest

22

Alexander

 

 

 

light

23

Trajan

 

 

 

brown

Oevede ?

24