Naturalization ID:              

Court Location:                 
Court Type:                     
Court Description:              

Form Type:                      
Form Number:                    
Form Date:                      

Child Number:                   

Name:                           
Immigrant ID:                   LTRN-31JUL1898-0-A-0003 

Birth Date:                     
Birth Place:                    

Occupation:                     
Marital Status:                 

Height / Weight:                 / 
Eye Color / Hair Color:          / 

Residence Address:              

Last Foreign Residence:         
Emigrated From (Date):          
Arrival Port (Date):            
Ship Name:                      

Declaration Date / Number / Location / Court:
                                 /  /  / 

Marriage Date:                  
Marriage Place:                 

Spouse Name:                    
Spouse Immigrant ID:            

Spouse Birth Date:              
Spouse Birth Place:             

Spouse Naturalization Date / Certificate / Location:
                                 /  / 

Residency Location (Date):      

1st Witness Name / Occupation / Residence:
                                 /  / 

2nd Witness Name / Occupation / Residence:
                                 /  / 

Petition Outcome / Date / Certificate:
                                 /  / 

Comments:

Applicant/Parent:

Action	Name	Sex	Birth Date	Birth Place	Residence	Comments
	Boolootian [Bouloudian], Mehertad Hachadoor		1862-02-05	Van, Turkey	Fresno, CA, USA	name changed to Mehertad Hachador Cloud