STATES IMMIGRATION OFFICER AT PORT OF ARRIVAL 13
States, or a port of another isular possession, in whatsoever class they travel, MUST be-fully listed and the master or commanding
officer of each vessel carrying such passengers-must upon arrival deliver lists thereof to the immigration officer.
STEERAGE PASSENGERS ONLY.

Arriving at Port of NEW YORK                                                           16:e augusti 1920 
  

 191
14:
15:
16:
17:
 18:
19:
 20:
21:
No.
on
List.
Whether having a
ticket to such
final destination
By whom
was
passage pade?
Whether in
possession $50,
and if less, how
much?
Whether before in the Unitid
Stares; and if so,
when and where?
Whether going to join a
relative or friend, and if so,
what relative or friend, and
his name and complete adress
Purpose of
coming to
United States.

Rad
10:
No
Self
25
No
-
-
Cousin: Mrs Esther Johnson
3918 Halifax str. Duluth Minnesota
und
No
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14:
22:
23:
24:
24:
25:
 26:
27:
28:
29:
No.
on
List.


Condition of health,
mental and physical.

Deformed or crippled.
Nature, length of time
and cause.
Height.
Fet
Inches
Rad
10:
No
No
No
No
No
No
Good
No
5
6
---------------------------------------------------------------------------------------------------------------------------------------------------
14:
30:
31:
32:
33:
No.
on
List.
Complexion.
Color of-
Marks of
identifieation
Place of birth.
Hair.
Eyes.
Country.
City or town.
Rad
10:
Fair
Dark
Grey-blue
None
Sweden
Lysvik
---------------------------------------------------------------------------------------------------------------------------------------------------


Avskrift av rad 10 från orginalbild (dokument) vid ankomsten till Nord-Amerika New York 16 augusti 1920.
Selma Ingeborg Loberg är inskriven på rad 10 från kolumn 14 till 33.
(Kolumn 1 till och med 13 är från fartyget S.S Bergensfjord Passagerarlista som avgick från Cristiania, Norway 7:e augusti 1920.
Selma´s Cousin: Mrs Esther Johnson som utvandrade 1/7-1915 är Ester Maria Stålhammar född 04-10-1893 i Lysvik Värmland.