Dane CCC R100430

Record Type: Petition

Family Name: Amble

Given Name: Josie Christine

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

Given Name - Alternate:

Address: 506 E. Jefferson St. Stoughton Wis.

Vol/Page (Enter V-PG or Filed YYYY): Order Book P 143

Title/Location of Court: Circuit Court, Dane

Place of Birth: (See other side)

Date of Birth: April 6, 1892

Certificate #:

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1: (over)

Witness 1 Address:

Witness 2: (over)

Witness 2 Address:

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: