Dane CCC R101501

Record Type: Petition

Family Name: Ayen

Given Name: Thomas O.

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

Given Name - Alternate:

Address: Mt. Horeb, Wis.

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

Title/Location of Court: Circuit Court, Dane

Place of Birth:

Date of Birth:

Certificate #: A5-436

Port of Arrival:

Arrival Date:

Naturalization Date: Sept. 15, 1906

Witness 1: I.E. Kittleson

Witness 1 Address:

Witness 2: F.L. Gilbert

Witness 2 Address:

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: