Dane CCC R102815

Record Type: Petition

Family Name: Blaser

Given Name: Jacob

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

Given Name - Alternate:

Address: Mt. Horeb, Wis.

Vol/Page (Enter V-PG or Filed YYYY): 1784 Vol 16-P 234

Title/Location of Court: Circuit Court, Dane

Place of Birth: Clavaleyeris, Switzerland

Date of Birth: Nov. 8, 1894

Certificate #: 1114266

Port of Arrival: New York, N.Y.

Arrival Date: Sept. 20, 1913

Naturalization Date: Apr. 19, 1920

Witness 1: Rudolf Schaeler

Witness 1 Address: Mt. Horeb, Wis.

Witness 2: John Amport

Witness 2 Address: Mt. Horeb, Wis.

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: