Dane CCC R105496

Record Type: Signed Petition

Family Name: Ellworth

Given Name: Barry Ian

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

Given Name - Alternate:

Address: 1709 Jefferson St., Madison, Wis.

Vol/Page (Enter V-PG or Filed YYYY): 48-29

Title/Location of Court: Circuit Court, Dane

Place of Birth:

Date of Birth:

Certificate #: 6497328

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age: 16

Date of admission: Nov. 18, 1946

Date Certificate Issued: November 18, 1946

Petition #: 5321

Alien Registration #: 7007014