Arrival New York, 3 December 1910

THIS SHEET IS FOR STEERAGE PASSENGERS.

List or Manifest of Alien Passengers for the United States Immigration Officer at Port of Arrival

Required by the regulations of the Secretary of Commerce and Labor of the United States, under Act of Congress approved February 20, 1907, to be delivered to the United States Immigration Officer by the commanding officer of any vessel having such passengers on board upon arrival at a port in the United States.

S.S. Campania sailing from Liverpool, 26 Nov 1910
Arriving at Port of New York, 3 Dec 1910

1 No. on List 28
2 NAME IN FULL Family name Haigh
Given name Charles
3 Age Yrs. 36
Mos.  
4 Sex. M
5 Married or single M
6 Calling or occupation Mechanic
7 Able to - Read. Yes
Write. Yes
8 Nationality. (Country of which citizen or subject.) England
9 Race or people English
10 Last permanent residence Country England
City or town Shipley
11 The name and complete address of nearest relative
or friend in country whence alien came. 		11A Briggate Shipley, Yorks. Mother, Mrs. Butler
12 Final destination State. N.Y.
City or town Jamestown
13 No. on List 28
14 Whether having a ticket to such final destination. Yes
15 By whom was passage paid? Self
16 Whether in possession of $50, and if less, how much?  
17 Whether ever before in the
United States; and if so,
when and where? 		Yes or No.  
If yes - Year or period of stay  
Where?  
18 Whether going to join a relative or friend; and if so,
what relative or friend, and his name
and complete address. 		Friend, Mr Alfred De??? 67 Center St., Jamestown, New York
19 Ever in prison or almshouse, or
Institution for care and treatment of the
Insane, or supported by charity? If
so, which? 		No
20 Whether a polygamist No
21 Whether an anarchist No
22 Whether coming by reason of any offer,
??, promise, or agreement,
expressed or implied, to labor in the
United States. 		No
23 Condition of health, mental and physical. Good
24 Deformed or crippled. Nature, length of time, and cause. No
25 Height Feet. 5
Inches. 4
26 Complexion Fair
27 Color of - Hair. Brown
Eyes. Blue
28 Marks of identification C.H. Tottooed on left Wrist
29 Place of birth. Country. England
City or town Bradford

Source: Year: 1911; Arrival: New York, New York, USA; Microfilm Serial: T715, 1897-1957; Line: 28; Page Number: 104
Source: Ancestry - New York Passenger Lists, 1820-1957