|signed: Thos Griffin|
DISTRICT OF NEW YORK - PORT OF NEW YORKI, Thos Griffin, Master of the Bark Magdalena, do solemnly, sincerely and truly swear that the following List or Manifest, subscribed by me, and now delivered by me to the Collector of the Customs of the Collection District of New York, is a full and perfect list of all the passengers taken on board the said Bark at Ciudad Bolivar from which port said Bark has now arrived; and that on said list is truly designated the age, the sex and the occupation of each of said passengers, the part of the vessel occupied by each during the passage, the country to which each belongs, and also the country of which it is intended by each to become an inhabitant; and that said List or Manifest truly sets forth the number of said passengers who have died on said voyage, and the names and ages of those who died.
Sworn to this 6 June 1876 So help me God,
(signed) Tho^s Griffin
before me ________________(illegible signature)List or Manifest of all the passengers taken on board the Bark Magdalena whereof ___left blank__is Master, from Ciudad Bolivar burthen 259/26 tons.