Dane CCC R102123

Record Type: Signed Petition

Family Name: Belgen

Given Name: Anna

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

Given Name - Alternate:

Address: 748 Chapman St., Madison, Wisconsin

Vol/Page (V-PG or Filed YYYY): Vol. 42 Page 104

Title/Location of Court: Circuit Court, Dane

Place of Birth:

Date of Birth:

Certificate #: 5448252

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age: 43

Date of admission: May 18, 1942

Date Certificate Issued: May 18, 1942

Petition #: 4583

Alien Registration #: