| Konraktels N:r [Ticket No.] | 212 | 212 | 212 | 212 | 212 |
| Utvandrarens yrke och namn [Name] | Oline Berdine Forslin | Emanual Forslin | Joahnnes Forslin | Ellen Kathrine Forslin | Olga Gustava Forslin |
| Hemort till lä och socken [Home] | Arendal | Arendal | Arendal | Arendal | Arendal |
| Alder [Age] | 42 | 13 | 11 | 8 | 4 |
| Man. [Male] | 1 | 1 | |||
| Qvinna. [Female] | 1 | 1 | 1 | ||
| Summa. | 1 | 1 | 1 | 1 | 1 |
| Bestämmelseort. [Destination] | Chicago (Ills) | Chicago (Ills) | Chicago (Ills) | Chicago (Ills) | Chicago (Ills) |
Source: Ancestry.com. Sweden, Emigration Registers, 1869-1948