Dane CCC R100437

Record Type: Declaration

Family Name:

Given Name:

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

Given Name - Alternate: Paul Maine,

Address: Route 3, Brooklyn Wis.

Vol/Page (V-PG or Filed YYYY): V 17 P 390

Title/Location of Court: Circuit Court, Dane

Place of Birth: Brooklyn, Wis.

Date of Birth: April 15, 1888

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 #: