Dane CCC R200769

Record Type: Declaration

Family Name: Fajenblum

Given Name: Szijja Henoch

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

Given Name - Alternate: Sam

Address: 717 University Ave., Madison, Wis.

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

Title/Location of Court: Circuit Court, Dane

Place of Birth: Minsk, Mazoweicki, Poland

Date of Birth: Sept. 30, 1899

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Naturalization Date:

Witness 1:

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Witness 2:

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Age:

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Alien Registration #: