Dane CCC R601920

Record Type: Petition

Family Name: Shuster

Given Name: Sam

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

Given Name - Alternate:

Address: 813 Mound St., Madison, Wis.

Vol/Page (Enter V-PG or Filed YYYY): A1-P 51

Title/Location of Court: Circuit Court, Dane

Place of Birth: Kletzk, Russia

Date of Birth: July 15, 1870

Certificate #: 51

Port of Arrival: New York, N.Y.

Arrival Date:

Naturalization Date:

Witness 1: Abraham Felsher

Witness 1 Address: 814 Chandler St. Madison, Wis.

Witness 2: David Sweet

Witness 2 Address: 520 S. Park St. Madison, Wis.

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: