Dane CCC R101500

Record Type: Declaration

Family Name: Axford

Given Name: Herbert Melvin

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

Given Name - Alternate:

Address: 2929 University Ave., Madison, Dane Co. Wis.

Vol/Page (V-PG or Filed YYYY): 19-209

Title/Location of Court: Circuit Court, Dane

Place of Birth: Winnipeg Canada

Date of Birth: 7-25-18

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 #: