Dane CCC R601398

Record Type: Declaration

Family Name: Schliomovitz

Given Name: Itzko Chaimov

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

Given Name - Alternate:

Address: 1 N. Blair St., Madison, wis.

Vol/Page (Enter V-PG or Filed YYYY): Vol. 13/Pg. 142

Title/Location of Court: Circuit Court, Dane

Place of Birth: Kopil, Russia

Date of Birth: Aug. 3, 1898

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 #: