Dane CCC R202317

Record Type: Declaration

Family Name: Ghiringehelli

Given Name: Anna

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

Given Name - Alternate:

Address: 137 Proudfit St., Madison, Wis

Vol/Page (Enter V-PG or Filed YYYY): 16-150

Title/Location of Court: Circuit Court, Dane

Place of Birth: Port Arthur, Canada

Date of Birth: Feb. 9, 1912

Certificate #:

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: