Dane CCC R102865

Record Type: Petition

Family Name: Bloom

Given Name: Isaac

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

Given Name - Alternate:

Address: 810 Mound St., Madison, Wis.

Vol/Page (V-PG or Filed YYYY): 1281 Vol 13-P 31

Title/Location of Court: Circuit Court, Dane

Place of Birth: Tyncowitz, Minsk, Russia

Date of Birth: Oct. 13, 1874

Certificate #: 687305

Port of Arrival: New York, N.Y.

Arrival Date: Sept. 13, 1910

Naturalization Date: Nov. 20, 1916

Witness 1: Alex Sinaiko

Witness 1 Address: 810 Chandler St. Madison, Wis.

Witness 2: A. Sinagub

Witness 2 Address: 810 Mound St. Madison, Wis.

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: