Dane CCC R202116

Record Type: Signed Petition

Family Name: Gawryn

Given Name: Jacob Wolf

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

Given Name - Alternate:

Address: 409 W. Johnson St., Madison, Wis.

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

Title/Location of Court: Circuit Court, Dane

Place of Birth:

Date of Birth:

Certificate #:

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age: 39

Date of admission: Nov. 13, 1950

Date Certificate Issued: November 13, 1950

Petition #: 5435

Alien Registration #: 6088827