Dane CCC R300103

Record Type: Declaration

Family Name: Gubser

Given Name: Johann

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

Given Name - Alternate:

Address: Blue Mounds, Wis.

Vol/Page (Enter V-PG or Filed YYYY): V 16 P 141

Title/Location of Court: Circuit Court, Dane

Place of Birth: St. Gall, Switzerland

Date of Birth: Sept. 21, 1906

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 #: