Dane CCC R200062

Record Type: Declaration

Family Name: Endregart

Given Name: John Crist

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

Given Name - Alternate:

Address: 2111 Winnebago St. Madison Wis.

Vol/Page (Enter V-PG or Filed YYYY): V9 P 108

Title/Location of Court: Circuit Court, Dane

Place of Birth: Tilseth, Germany

Date of Birth: Oct. 12, 1880

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 #: