State of Louisiana
County of Ascension
Arthur Aubin Evariste Aucoin, born at Plattenville, Assumption Parish, Louisiana, 1 Mar 1868. Father was Uzelien Aucoin, born at Plattenville, La.
Proof of birth & citizenship: Baptismal certificate.
"I have never been outside of the United States."
Domiciled at Plattenville, Louisiana, occupation being "laborer at saw mill."
Going abrod to Cuba, to work as a sugar boiler, intending to return within six months. Intend to sail from New Orleans on "one of the boats of the United Fruit Company, "5th to 15th Dec. 1917."
Sworn this 23rd day of November 1917, before 27th judicial court at Donaldsonville, La.