Dane CCC R102869

Record Type: Petition

Family Name: Bloom

Given Name: William

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

Given Name - Alternate:

Address: 722 Mound St., Madison, Wis.

Vol/Page (V-PG or Filed YYYY): 654 Vol 7-P 4

Title/Location of Court: Circuit Court, Dane

Place of Birth: Timkowitz, Russia

Date of Birth: Mar. 5, 1883

Certificate #: 399395

Port of Arrival: New York, N.Y.

Arrival Date: May 5, 1905

Naturalization Date: Nov. 17, 1913

Witness 1: Alex Sinaiko

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

Witness 2: Abraham Sinagub

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

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: