Port of Arrival: Detroit, Michigan, USA
| No. on List | 10 | 11 | 12 | 13 |
| Head-Tax Status | CNR 17668 | CNR 17667 | Under 16 ??? | Under 16 ??? |
| Name in Full | Chapman Harry L | Chapman Grace | Chapman Ella L. | Chapman Arthur L. |
| Age | 38 | 37 | 12 | 4 |
| Married or single | M | M | S | S |
| Calling or occupation | Telegraph Operator | None | None | None |
| Nationality | Canada | Canada | Canada | Canada |
| Race or people | English | English | English | English |
| Last permanent residence | Mitchell, Ont. | Mitchell, Ont. | Mitchell, Ont. | Mitchell, Ont. |
| The name and complete address of nearest relative or friend in country whence alien came | Bro.H.R.Chapman, Mitchell, Ont. | No relatives in Canada | Uncle.H.R.Chapman, Mitchell, Ont. | Uncle.H.R.Chapman, Mitchell, Ont. |
| Final destination | Mich Jackson | Mich Jackson | Mich Jackson | Mich Jackson |
| Whether have a ticket to final destination | y | y | y | y |
| By whom was passage paid? | Self | Husband | Father | Father |
| Whether ever before in the United States | y 1905 1912 Jackson | y 1886 1917 Mich | y 1912 1917 Jackson | No |
| Whether going to join a relative or friend | Bro-Law; Theo. Garrett, 705 New York St., Jackson, Mich. | Brother | Uncle | Uncle |
| Purpose of coming to United States | Perm | Perm | Perm | Perm |
| Height | 5 6 | 5 4 | - | - |
| Complexion | Med | Fair | Dark | Dark |
| Color of Hair | Dk Br | Aub | Bro | Bro |
| Color of Eyes | Gray | Bro | Bro | Bro |
| Place of Birth | Canada, Mitchell, Ont. | USA Brighton, Mich. | Canada Mitchell, Ont | Canada Mitchell, Ont |
Source: Ancestry - U.S., Border Crossings from Canada to U.S., 1895-1960