Dane CCC R102273

Record Type: Petition

Family Name: Bergeron

Given Name: Eva

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

Given Name - Alternate: Olivia Virginia

Address: 16 N. Franklin St., Madison, Wis.

Vol/Page (V-PG or Filed YYYY): Vol. 48, P. 38

Title/Location of Court: Circuit Court, Dane

Place of Birth: Canada

Date of Birth: Nov. 18, 1946

Certificate #: 6497325

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age: 65

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: