Dane CCC R602165

Record Type: Petition

Family Name: September

Given Name: Stefan

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

Given Name - Alternate:

Address: 2401 Hoard St., Madison, Wis.

Vol/Page (Enter V-PG or Filed YYYY): 30-30

Title/Location of Court: Circuit Court, Dane

Place of Birth: Hoste, Czechoslovakia

Date of Birth: Dec., 15, 1880

Certificate #: 2250555

Port of Arrival: New York, N. Y.

Arrival Date: Jan. 17, 1912

Naturalization Date: Nov. 16, 1925

Witness 1: C.B. Shafer

Witness 1 Address: 114 Allen St., Madison, Wis.

Witness 2: Thomas O'Dea

Witness 2 Address: 1019 Oregon Rd., Madison, Wis.

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: