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I Samuel Sharick make the following report of myself to the Court of Hustings for the City of Portsmouth in the State of Virginia being a Court of record, that is to say, I report that I was born in the Kingdom of Prusia on the _______ day of [March1828?] being now in the the 44[']th year of my age, that I am a subject of William now the Emperor of the united Germany, owing allegiance to that Monarch and none other, that I migrated from the then Kingdom of Prusia to the United States in the year A.D. 1852 and that I intend to settle myself in the City of Portsmouth in the State of Virginia one of the United States, that it is bona fide, my intention to become a citizen of the United States and to renounce forever all allegiance and fidelity to any foreign Power, Potentate State Prince or Sovereignty whatever, and particularly to William the Emperor of the united Germany.

Given under my hand this 14 day of Feby AD. 1872

[below to left:] Witness. [below to right;] Samuel [x mark] Sharick [with following words [Signatures:] L. C. P. Cowper above and below mark (respectively):] his Mark

                         [Galen?] [Murphy?]