Dane CCC R102978
Facsimile
Transcription
Status: Complete
Record Type: Declaration
Family Name: Bol
Given Name: Catherine
Family Name - Alternate (X- Name at top of card):
Given Name - Alternate:
Address: 1927 W. Lawn Avenue, Madison, Wis
Vol/Page (V-PG or Filed YYYY): 19-166
Title/Location of Court: Circuit Court, Dane
Place of Birth: Egmond Aan Hoef, Holland
Date of Birth: 8-13-75
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:
Petition #:
Alien Registration #:
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