Dane CCC R101512

Record Type: Signed Petition

Family Name: Bach

Given Name: Mina

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

Given Name - Alternate:

Address: Rt. 4, Monona Dr., Madison, Wis.

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

Title/Location of Court: Circuit Court, Dane

Place of Birth:

Date of Birth:

Certificate #: 5243885

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age: 41

Date of admission: Sept. 15, 1941

Date Certificate Issued: Sept. 15, 1941

Petition #: 4453

Alien Registration #: