Dane CCC R101904

Record Type: Declaration

Family Name: Bastone

Given Name: Maria Grace

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

Given Name - Alternate: Mary

Address: 110 Gerry Ct., Madison, Wis.

Vol/Page (V-PG or Filed YYYY): 16-384

Title/Location of Court: Circuit Court, Dane

Place of Birth: Piana dei Greci, Italy

Date of Birth: Sept. 11, 1913

Certificate #:

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: