Dane CCC R601400

Record Type: Signed Petition

Family Name: Schlom

Given Name: Max Meir

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

Given Name - Alternate:

Address: 919 Vilas Avenue, Madison, Wis.

Vol/Page (Enter V-PG or Filed YYYY): Vol. 50/Pg. 29

Title/Location of Court: Circuit Court, Dane

Place of Birth:

Date of Birth:

Certificate #: 7096663

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age:

Date of admission: 5-17-54

Date Certificate Issued: 5-17-54

Petition #: 5545

Alien Registration #: 6960771