Dane CCC R101739

Record Type: Signed Petition

Family Name: Balsamo

Given Name: Mary

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

Given Name - Alternate:

Address: 1111 Bowen Ct., Madison, Wisconsin

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

Title/Location of Court: Circuit Court, Dane

Place of Birth:

Date of Birth:

Certificate #: 4888181

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age: 33

Date of admission: Sept. 16, 1940

Date Certificate Issued: Sept. 16, 1940

Petition #: 4164

Alien Registration #: