Dane CCC R101537

Record Type: Petition

Family Name: Back

Given Name: Alfons Edmund

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

Given Name - Alternate:

Address: Baywood Farm, Madison, Wis.

Vol/Page (V-PG or Filed YYYY): 366 Vol 4-P 17

Title/Location of Court: Circuit Court, Dane

Place of Birth: Obenweissenbrum, Germany

Date of Birth: Oct. 31, 1876

Certificate #: 305925

Port of Arrival: New York, N.Y.

Arrival Date: Sept. 28, 1905

Naturalization Date: Sept. 16, 1912

Witness 1: Stephen Roth

Witness 1 Address: Madison, Wis. (RFD)

Witness 2: Aquilin Roth

Witness 2 Address: Madison, Wis. (RFD)

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: