Dane CCC R601992

Record Type: Signed Petition

Family Name: Schwarz

Given Name: Rosa

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

Given Name - Alternate:

Address: Rt. 1, Mt. Horeb, Wisconsin

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

Title/Location of Court: Circuit Court, Dane

Place of Birth:

Date of Birth:

Certificate #: 5243927

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age: 63

Date of admission: Sept. 15, 1941

Date Certificate Issued: Sept. 15, 1941

Petition #: 4508

Alien Registration #: