Dane CCC R202910

Record Type: Declaration

Family Name: Gregustobires

Given Name: Elizabeth

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

Given Name - Alternate:

Address: Rt. 54, Madison, Wis.

Vol/Page (Enter V-PG or Filed YYYY): V 18 P 200

Title/Location of Court: Circuit Court, Dane

Place of Birth: Velke Pole, Czechoslovakia

Date of Birth: April 12, 1889

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: Mar. 29, 1941

Petition #: 5422

Alien Registration #: