Dane CCC R102872

Record Type: Petition

Family Name: Bloosten

Given Name: Joseph Solomon

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

Given Name - Alternate:

Address: 820 Mound St., Madison, Wis.

Vol/Page (V-PG or Filed YYYY): 1343 Vol 13-P 93

Title/Location of Court: Circuit Court, Dane

Place of Birth: Minsk, Russia

Date of Birth: Nov. 20, 1893

Certificate #: 687349

Port of Arrival: New York, N.Y.

Arrival Date: Sept. 20, 1911

Naturalization Date: June 18, 1917

Witness 1: Sholom David Lieberman

Witness 1 Address: 819 Mound St. Madison, Wis.

Witness 2: Max Kaplan

Witness 2 Address: 820 Mound St. Madison, Wis.

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: