Dane CCC R106873

Record Type: Signed Petition

Family Name: Derra

Given Name: Eleanore May Christine

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

Given Name - Alternate:

Address: 2418 Center Ave., Madison, Wisconsin

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

Title/Location of Court: Circuit Court, Dane

Place of Birth:

Date of Birth:

Certificate #: 4888115

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age: 38

Date of admission: May 21, 1940

Date Certificate Issued: May 21, 1940

Petition #: 4108

Alien Registration #: