Dane CCC R602424

Record Type: Declaration

Family Name: Sher

Given Name: Sam

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

Given Name - Alternate:

Address: 19 S. Morris St. Madison, Wis.

Vol/Page (Enter V-PG or Filed YYYY): 5-172

Title/Location of Court: Circuit Court, Dane

Place of Birth: Podolsk, Russia

Date of Birth: Oct. 28, 1886

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Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age:

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Date Certificate Issued:

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Alien Registration #: