Dane CCC R103144

Record Type: Petition

Family Name: Bornstein

Given Name: Rafael

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

Given Name - Alternate:

Address: 805 Mound St., Madison, Wis.

Vol/Page (Enter V-PG or Filed YYYY): 21-P-74

Title/Location of Court: Circuit Court, Dane

Place of Birth: Auzda, Russia

Date of Birth: Aug. 28, 1891

Certificate #: 2274

Port of Arrival: New York, N.Y.

Arrival Date: Nov. 10, 1918

Naturalization Date:

Witness 1: Efriem Picus

Witness 1 Address: 824 Mound St., Madison, Wis.

Witness 2: N. Bornstein

Witness 2 Address: 1960 Railroad St., Madison, Wis.

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: