Canadian Passenger Lists

Arrival: 4 May 1914
Vessel: Ausonia
Port of Arrival: Quebec
Port of Departure: Southampton, England

Instructions to Pursers

Each passenger should be given a card indicating the number of sheet and line on which name is to be found.
Columns 3, 29 and 30 are to be filled in by the Immigration Agent at the Port of Landing.

This sheet is to be used for "Intermediate" passengers only

NB - The table below has been rotated, so for columns read rows.

No. of Passengers 1 30 1 2
No. of S.S. Contract Ticket 2      
Amount of Cash in $ 3 enough
Name in Full 4 Mayersback Harriett Mayerback Mildred Mayersbach Dorothy
Age of Adults Male 5      
Female 6   21? 15
Under Under 11 Years Male 7      
Female 8      
Married, Single or Widowed 9 M S S
Have you ever been in Canada before? 10 No No No
If So When 11 To Husband Gardener    
Where 12    
How Long 13    
Do You Intend to Permanently Reside in Canada? 14 Yes? Yes Yes
Are You Able to Read? 15 Yes? Yes Yes
Are You Able to Write? 16 Yes? Yes Yes
Country of Birth 17 England England England
No. of Passengers 18 30 1 2
Race of People 19 English English English
Destination Post Office 21 Winnipeg Winnipeg Winnipeg
Province 21 Man Man Man
What was your occupation in country from which you came? 22 Housewife Governess school
What is your intended occupation in Canada? 23 ?? Governess school
Have you ever worked as farmer, farm labourer, gardener, stableman, carter, Ry. surfaceman, navvy or miner? 24 No No No
If So Which 25      
How Long 26      
When 27      
Religious Denomination 28 Methodist Ch of England CofE
Travelled Inland On 29 C.P.R.? C.P.R. C.P.R.
Initials of Civil Examiner 30 ?? ?? ??
No. of Passengers 31 30 1 2

Source: Library and Archives Canada. Passenger Lists, 1865-1935; RG76, Roll: T-4807
Source: Ancestry - Canadian Passenger Lists, 1865-1935