Dane CCC R102180

Record Type: Petition

Family Name: Benkert

Given Name: Koletta

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

Given Name - Alternate:

Address: 849 Terry Pl., Madison, Wis.

Vol/Page (V-PG or Filed YYYY): 2965 Vol 28-P 65

Title/Location of Court: Circuit Court, Dane

Place of Birth: Oberweissenbrunn, Germany

Date of Birth: Mar. 20, 1894

Certificate #: 2854673

Port of Arrival: New York, N.Y.

Arrival Date: Mar. 3, 1923

Naturalization Date: Sept. 17, 1928

Witness 1: Joseph Wurmseher

Witness 1 Address: 926 E. Dayton St., Madison, Wis.

Witness 2: Alfons Back

Witness 2 Address: Madison, Wis. (R.F.D. #1)

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: