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UNITED STATES OF AMERICA Department of Justice ___________ REGISTRATION AFFIDAVIT OF ALIEN ENEMY The registration affidavit must be filled in and sworn to in triplicate and accompanied by four unmounted photographs of the registrant, not larger the 3 by 3 inches in size, on thin paper with light background. All four photographs should be signed by the registrant across the face of the photograph so as not to obscure the face, if registrant is able to write. If registrant is unable to write, he must make his mark in the signature space and affix his left thumb print in the space indicated for the same opposite the signature space. The affidavit need not be filled out before, but must be signed and sworn to before, a registration officer, who will fill in the description and take the finger prints of the registrant. All registration officers are authorized to administer the oath hereto to persons registering as alien enemies. _____________ I, Robert Carl Groth hereby register as an alien enemy at Cent Police Station Stillwater Minnesota and make the following statements and answers under oath: 1. Name Robert Carl Groth All other names at any time used 2. Present residence 419 So Harriet St Stillwater Minnesota 3. Length of residence at the foregoing place Jan 12 1918 4. All other places of residence since January 1, 1914 no 5. Born in Pomean Germane on Feb 18-1876 6. Since January 1, 1914, employed by: Name of place. Date. Occupation. Name of employer. Stillwater Jan 1-1914 Laberer Conley Shoe Co Jan 1918 7. I arrived in the United States 1883 at the port of not nowen on ship not nowen and applied for entry under the name of Robert Groth 8. (a) Name of father August Groth Living no Residence of father, if living (b) Name of mother Bertha Groth Living no Residence of mother, if living
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