Dane CCC R201125

Record Type: Declaration

Family Name: Fisch

Given Name: Adolph

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

Given Name - Alternate:

Address: Marshall,Wis. (RFD#3)

Vol/Page (Enter V-PG or Filed YYYY): Vol 35-P 1

Title/Location of Court: Circuit Court, Dane

Place of Birth: Sheinienke, Poland, (Russia)

Date of Birth: Oct. 20, 1893

Certificate #: 42863883735

Port of Arrival: New York, N.Y.

Arrival Date: Oct. 4, (1904)

Naturalization Date: May 16, 1938

Witness 1: John Norton,

Witness 1 Address: Tn. York, Dane Co., Wis.

Witness 2: Victor Grunewald,

Witness 2 Address: Marshall, Wis.

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: