Dane CCC R300139

Record Type: Declaration

Family Name: Gulichuk

Given Name: Waslley

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

Given Name - Alternate:

Address: Cottage Grove, Wis.

Vol/Page (Enter V-PG or Filed YYYY): V 11 P 291

Title/Location of Court: Circuit Court, Dane

Place of Birth: Suceava, Bucovia, Rumania

Date of Birth: Apr. 15, 1895

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 #: