Dane CCC R100322

Record Type: Declaration

Family Name: Albrecht

Given Name: Rosa

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

Given Name - Alternate:

Address: 727 Jenifer St. Madison, Wis.

Vol/Page (V-PG or Filed YYYY): V 14 P 102

Title/Location of Court: Circuit Court, Dane

Place of Birth: Wyhlen, Germany

Date of Birth: Jan 11, 1894

Certificate #:

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: