Dane CCC R202677

Record Type: Declaration

Family Name: Goldstine

Given Name: Shirley Gertrude

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

Given Name - Alternate:

Address: 10 East Gorham St, Madison, Wisconsin

Vol/Page (Enter V-PG or Filed YYYY): V18 P 335

Title/Location of Court: Circuit Court, Dane

Place of Birth: Winnipeg, Canada

Date of Birth: 5/4/23

Certificate #:

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age:

Date of admission: 12/26/41

Date Certificate Issued: 12/26/41

Petition #: 5557

Alien Registration #: