Dane CCC R202666

Record Type: Declaration

Family Name: Goldman

Given Name: Marie Elisabeth

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

Given Name - Alternate: Marie Elizabeth

Address: 28 E. Gilman St. Madison, Wis.

Vol/Page (Enter V-PG or Filed YYYY): V 18 P 312

Title/Location of Court: Circuit Court, Dane

Place of Birth: Gennice, Moravia

Date of Birth: Oct. 17, 1911

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: 11-13-41

Petition #: 5534

Alien Registration #: