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 owing allegiance to that monarch, and none other; that I migrated from [Bremin?]] to the United States in the year 1853, and that I intend to settle myself in the Town of Portsmouth, in the State of Virginia, one of the United States.
Given under my hand this 15