Dane CCC R102396

Record Type: Petition

Family Name: Bergholz

Given Name: Herman

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

Given Name - Alternate:

Address: Tn Medina, Dane Co., Wis.

Vol/Page (V-PG or Filed YYYY): A12--151

Title/Location of Court: Circuit Court, Dane

Place of Birth: Virraden, Germany

Date of Birth: July 13, 1867

Certificate #:

Port of Arrival: Baltimore, Md.

Arrival Date: Apr 30, 1881

Naturalization Date: Sept 8, 1906

Witness 1: T. S. Leland

Witness 1 Address: Tn Deerfield Dane Co., Wis.

Witness 2: W. H. Strasburg

Witness 2 Address: Tn Deerfield Dane Co., Wis.

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: