Naturalization ID:              

Court Location:                 
Court Type:                     
Court Description:              

Form Type:                      
Form Number:                    
Form Date:                      


Name:                           
Immigrant ID:                   CANA-15SEP1912-3-5-0028 BX-SEATTLEWA-19NOV1915-0-15-0012 

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:            BX-SEATTLEWA-24MAR1916-0-4-0014 

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:
wife's residence: 2409 McKinley Ave., Berkeley, CA

Children:

Action	Name	Sex	Birth Date	Birth Place	Residence	Comments	Immigrant ID
	Balian, Sarkis		1909-05-22	Hove, Sussex, England	Berkeley, CA, USA		BX-SEATTLEWA-24MAR1916-0-4-0016
	Balian, Nena		1911-09-12	Hove, Sussex, England	Berkeley, CA, USA		BX-SEATTLEWA-24MAR1916-0-4-0017
	Balian, Rosalie		1918-11-13	Fresno, CA, USA	Berkeley, CA, USA
	Balian, Robert		1922-11-03	Fresno, CA, USA	Berkeley, CA, USA