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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, Albert John Groth hereby register as an alien enemy at Stillwater, Minn. Wash. County and make the following statements and answers under oath: 1. Name Albert John Groth All other names at any time used none 2. Present residence R.R.#8 Oak Park, Stillwater, Minn Wash. Co. 3. Length of residence at the foregoing place about 10 years 4. All other places of residence since January 1, 1914 same 5. Born in Stolp, Posen, Germany on May 24, 1882 6. Since January 1, 1914, employed by: Name of place. Date. Occupation. Name of employer. South Stillwater, Minn. 1917-18 Mechanic Button Co. Cloquet, Minn. 1916 Mill Hand Cloquet Lumber South Stillwater, Minn. 1915 ?Ç£ ?Ç£ Tozer Lumber Co. Park Falls, Wisconsin 1914 ?Ç£ ?Ç£ Atwood Lumber Co. 7. I arrived in the United States October 1883 at the port of New York on ship don?ÇÖt know and applied for entry under the name of Albert John Groth 8. (a) Name of father John Groth Living No Residence of father, if living dead (b) Name of mother Bertha Groth, nee Dumke Living Yes Residence of mother, if living Oak Park, Stillwater, Minnesota R F D #8
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