Dane CCC R202324

Record Type: Declaration

Family Name: Giacomelli

Given Name: Mary

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

Given Name - Alternate:

Address: 18 So. Frances St., Madison, Wis

Vol/Page (Enter V-PG or Filed YYYY): 12-224

Title/Location of Court: Circuit Court, Dane

Place of Birth: Tirano, Italy

Date of Birth: Jan. 17, 1884

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 #: