STATE OF VIRGINIA.
At the Court of Hustings for the City of Portsmouth, held on the [blank line] day of [blank line] 18[blank space], [blank line] an alien, who has lately arrived in the United States, and is desirous of being naturalized a citizen thereof, this day appeared in Court, and in pursuance of the Act of Congress made a report of himself, which report is in the following words, to wit:
i, Max Levy, in order to become a citizen of the United States, make the following report of myself to the Court of Hustings for the City of Portsmouth:
I report that I was born in Posin, Germany on the 23[']d Dec.1839 being now in the 46 year of my age; that I am a subject of William 1, King of Prussia owing allegiance to that monarch, and none other; that I migrated from [Prussia?] to the United States in the year 1865, and that i intend to settle myself in the City of Portsmouth, in the State of Virginia, one of the United States.
Given under my hand this 5 day of June 1884
[Signature:]Max Levy and the said max levy declares on oath that it is bona fide his intention to become a citizen of the united states and to renounce forever all allegiance and fidelity to any foreign prince, potentate, state or sovereignty whatever, and particularly to William king of [Trupia]