Name Age Sex Occup. Birthplace Visa #/ Family Given Quota ============================================================================================= 1. Goetz David H. 27 M Farmer Friedensdorf/ 164 Tauride 2. Goetz Anna H. 30 F None Alexandewnohl/ 165 Tauride 3. Goetz David D. 6 M Student " 166 4. Goetz Heinrich D. 4 M None " 167 5. Goetz Peter D. 1 M None Harbin, China 168 6. Janzen Nicolai P. 61 M Farmer Minsterberg/ 160 Tauride 7. Janzen Zara J. 52 F None Elizevethal/ 161 Tauride 8. Janzen Heinrich H. 20 M Farmer " 163 9. Janzen Gertruda H. 28 F Domestic " 162 10. Kacharovsky Vsevolod E. 16 M Student Sedletz 11 11. Mierau David J. 19 M Laborer Tauride 47 12. Nizenkoff Constantin Z. 48 M Farmer Samara/Krasnoie/Poselenie 1262 13. Nizenkoff Tina A. 38 F None Sarapul/Viatka 1263 14. Nizenkoff Anna C. 21 F Student Selo/NekludovraSimbirsk 1265 15. Nizendoff Constantin C. 22 M Student Selo/Pavlovra/Simbirsk 1264 16. Neufeld Aganetha B. 50 F Farmer Tiegerweid/Tauride 171 17. Neufeld Johann 24 M Farmer " 172 18. Neufeld Peter H. 13 M Student 173 19. Pafnutieff Galo M. 43 F Housewife Sarapul/Viatka 1806 20. Pafnutief Wladimir A. 17 M Student Panutlevo/Viatka 1807 21. Samolin Pablo 33 M Merchant Lima/Peru Tr. 10 22. Samolin Tamara 19 F Housewife Irkutsk/Russia Tr. 11 23. Thiessen Jakob G. 26 M Farmer Velikokniajesk/Kuban 189 24. Thiessen Anna J. 24 F Housewife Selo #11/Terskoy 170 25. Vologodsky Zinaida P. 17 F Student Tomak/Siberia NQ 9
All passengers except Pablo and Tamara Samolin list their last permanent residence as Harbin, China.
Col. 17: "Name and Address of nearest relative or friend in country whence alien came:"
1-5. Mother, mother in law, grandmother: Margaret Goetz, Friedensdorf, Tauride, Russia
6-9. Son, Brother: Cornelius N. Janzen, Lindenau, Russia
10. Mother: Olga E. Kacharovskava, Harbin, China
11. Father: Jacob Mierau
12-15. Father, father in law, grandfather: Anisimoff, Siberia, Russia
16-18. Son, brother: Heinrich H. Neufeld, Fuerstenweider, Russia
21. Sis: Enrica Samolina, Espederos 515, Lima, Peru
22. Friend: Matel Bensans, Harbin, China
23-24. Father, father in law: Gerhard G. Thiessen, Revrovka, Pavlodar, Omsk, Russia
25. Mother: Sofia J. Vologodsky, 3 Berj--? St., Harbin, China
Col. 23: "Whether going to join a relative or friend; and if so, what relative or friend, and his name and complete address."
1-9, 16-18, 23-24. Friend: John Friesen, Reedley, California
10. Penn College, 2200 Prospect Ave., Cleveland
11. Sister: Mrs. Annie Goerz, 935 D Street, Reedley, California
12. Friend: Peter Constantinoff, Petaluma, Pengrove, Calif.
19-20. Husband, Father: K-- / patnutieff, 2341 Bush St., San Francisco
21-22. Hotel Eodoro, 433 Elis St. San Francisco
25. Salem College, Winston Salem, N. Carolina
Visitors: [an error occurred while processing this directive]
Change Date: Sunday, 23-Jul-2000 09:37:49 MDT