Dane CCC R103145

Record Type: Petition

Family Name: Bornstein

Given Name: Rafael

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

Given Name - Alternate:

Address: 124 Proudfit St., Madison, Wis.

Vol/Page (Enter V-PG or Filed YYYY): 24-P-58

Title/Location of Court: Circuit Court, Dane

Place of Birth: Auzda, Russia

Date of Birth: Aug. 28, 1891

Certificate #: 2558

Port of Arrival: New York, N.Y.

Arrival Date: Nov. 10, 1912

Naturalization Date: Feb. 16, 1925

Witness 1: I. Stein

Witness 1 Address: 834 Chandler St., Madison, Wis.

Witness 2: N. Bornstein

Witness 2 Address: 404 S. Park St., Madison, Wis.

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: