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I, Charles Bockenthal in order to become a citizen of the United States, make the following report of myself to the County Court of Norfolk County I report that I was born in [Saxollseim?] Eisenach on the 21[']st August 1821, being now in the [37[']th?] year of my age; that I am a subject of Charles Alexander - Grand Duke of Sax.-Weim.-Eisenach