Dane CCC R601180

Record Type: Declaration

Family Name: Scheel

Given Name: Nellie Margret

Family Name - Alternate (X- Name at top of card):

Given Name - Alternate:

Address: Deerfield, Wis.

Vol/Page (Enter V-PG or Filed YYYY): Order Book-page 153

Title/Location of Court: Circuit Court, Dane

Place of Birth: (see other side) (over)

Date of Birth: June 22, 1892

Certificate #:

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: