Dane CCC R300024

Record Type: Declaration

Family Name: Groth

Given Name: George Henry

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

Given Name - Alternate:

Address: Madison, Wis (RFD)

Vol/Page (Enter V-PG or Filed YYYY): 9 P 33

Title/Location of Court: Circuit Court, Dane

Place of Birth: Heinesdorf, Germany

Date of Birth: Sept 29, 1876

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 #: