------ (1) OF GENEVA, BUREAU of Geneva (2)
PASS #7569

Customs officers of the Republic, let pass citizen Pierre Bonzon, living in Switzerland, coming from Geneva, going to America on behalf of himself, merchant in __________ (3), conveying the following goods: a trunk, a leaden chest ------ (4) containing linen, clothes, and personal effects.
(from) St. Genix (5) (to) Bordeaux
and thanks to the present pass, no one will hinder him.
The present pass is void after sixty days and if it is not endorsed (6) by the "Bureau de la Route".
Customs house of Geneva, the twenty-first day of the month of Germinal, year 11 (7) of the French Republic, one and indivisible, at eleven o'clock..............  (8)

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1 illegible
2 underlined expressions indicate handwritten entries
3 hand-drawn line to indicate "not applicable"
4 ------ indicates an untranslated word, apparently "arigou" or "arigon"
5 St. Genis Pouilly is a town just inside France near Geneva.
6 "vis?" [viser -- to visa, to countersign, to endorse]
7 French revolutionary calendar; corresponds to April 11, 1803
8 untranslated -- "a Vaut(?) midi" [at mid day (11:00 A.M. local time)--Ar.]

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This image is a scan of a Xerox copy. It is approximately 6" by 6", although we do not know the actual size of the original, or the current location of the document.
This image is a contribution of Carol Rose Bonzo and Mary May.