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From DigitalMaine Transcription Project
State of Maine Washington Office of the Adjutant General Augusta Alien Registration Name Carl G. Hellstrom Street Address City or Town East Machias How long in United States Sixty Years How long in Maine forty five years Born in Sweden Date of birth July 23, 1869 If married, how many children Nine Occupation Cook Name of Employer Emery L. Small Address of employer East Machias English Speak yes Read yes Write yes Other languages Have you made application for citizenship? yes Have you ever had military service? no If so, where? When? Signature Carl G. Hellstrom Witness Wm T. Burns