Dane CCC R102484
Facsimile
Transcription
Status: Complete
Record Type: Declaration
Family Name: Bershas
Given Name: Anton
Family Name - Alternate (X- Name at top of card): Berzansky
Given Name - Alternate: Anton
Address: 921 O'Sheridan St., Madison, Wisconsin
Vol/Page (V-PG or Filed YYYY): 19-5
Title/Location of Court: Circuit Court, Dane
Place of Birth: Kapsodos, Lithuania
Date of Birth: 11-4-84
Certificate #:
Port of Arrival:
Arrival Date:
Naturalization Date:
Witness 1:
Witness 1 Address:
Witness 2:
Witness 2 Address:
Age:
Date of admission:
Date Certificate Issued: 2-2-43
Petition #: 5636
Alien Registration #:
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