Dane CCC R102483

Record Type: Signed Petition

Family Name: Bershas

Given Name: Anton Peter

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

Given Name - Alternate: Anton Peter

Address: 432 West Gorham St., Madison, Wis.

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

Title/Location of Court: Circuit Court, Dane

Place of Birth:

Date of Birth:

Certificate #: 6497358

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age: 63

Date of admission: May 17, 1948

Date Certificate Issued: May 17, 1948

Petition #: 5363

Alien Registration #: 3736040