Dane CCC R101211

Record Type: Signed Petition

Family Name: Arn

Given Name: Frederick

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

Given Name - Alternate:

Address: 35 N. Mills St. Madison, Wis.

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

Title/Location of Court: Circuit Court, Dane

Place of Birth:

Date of Birth: 4/14/1914

Certificate #: 7096627

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age:

Date of admission: 5/18/53

Date Certificate Issued: 5/18/53

Petition #: 5509

Alien Registration #: 6773080