REPORT OR MANIFEST of all the Pasengers taken on board
the Ship Jane whereof F. [Fred?] S. Luberg is Master,
from Liverpool burthen 242 65/100 Tons and owned by A.
Hollingsworth & son and Jordan of Philada [Philadelphia?]
& New York and bound to Philadelphia
Names. Age Sex Occupation To what Country of
Country which it is
Elizabeth Watts 28 F None G.B. U.S.A.
John Watts 5 M None G.B U.S.A.
Hugh Dougherty 45 M Labourer G.B. U.S.A.
Jann Dougherty 56 F G.B. U.S.A.
Total Number of Passengers:- 4
I F.[Fred?] S. Luberg do solemnly, sincerely, and truly
swear that the Report or Manifest subscribed with my name,
and now delivered by me to the Collector of the District
of Philadelphia, contains to the best of my knowledge and
belief, a just and true account of all the passengers which
were on board the Ship Jane at the time of her sailing
from the port of Liverpool or which have been taken on
board at any time since; that I am at present and have
been during the voyage, master of the said vessel.
And I do likewise swear that all matters whatsoever in
the said Report or Manifest, are to the best of my
knowledge and belief, just and true.
SO HELP ME GOD.
Sworn before me, this 13th day of October 1821
[A. E. B?] Collector. Fred S. Luberg