Dane CCC R101545

Record Type: Petition

Family Name: Back

Given Name: Stephan

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

Given Name - Alternate:

Address: 720 Brooks St., Madison, Wis.

Vol/Page (V-PG or Filed YYYY): 3372 Vol 31-P 38

Title/Location of Court: Circuit Court, Dane

Place of Birth: Oberweissenbrunn, Germany

Date of Birth: Jan. 26, 1884

Certificate #: 3708605

Port of Arrival: New York, N.Y.

Arrival Date: Oct. 30, 1912

Naturalization Date: May 23, 1934

Witness 1: August Kleinheinz

Witness 1 Address: 722 Univ. Ave., Madison, Wis.

Witness 2: Aquilin Roth

Witness 2 Address: Madison, Wis. (RFD #1)

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: