Dane CCC R202538

Record Type: Petition

Family Name: Gjuric

Given Name: Mato

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

Given Name - Alternate: Martin

Address: Madison, Wis. (RFD 50)

Vol/Page (Enter V-PG or Filed YYYY): V 34 P 12

Title/Location of Court: Circuit Court, Dane

Place of Birth: Strazeman, Austria

Date of Birth: Nov. 20, 1937

Certificate #: 4286372

Port of Arrival: New York, N.Y.

Arrival Date: July 28, 1913

Naturalization Date: Sept. 21, 1937

Witness 1: Leonard Toepfer

Witness 1 Address: Madison, Wis. (RFD 4)

Witness 2: William Dye

Witness 2 Address: 2512 E. Dayton St. Madison, Wis.

Age:

Date of admission:

Date Certificate Issued:

Petition #: 3646

Alien Registration #: