Dane CCC R300334

Record Type: Petition

Family Name: Gursky

Given Name: Jacob

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

Given Name - Alternate:

Address: 34 Corry St., Madison, Wis.

Vol/Page (Enter V-PG or Filed YYYY): 36-P17

Title/Location of Court: Circuit Court, Dane

Place of Birth: Swinka, Russia

Date of Birth: Mar. 23, 1897

Certificate #: 3851

Port of Arrival: New York, N.Y.

Arrival Date: June 17, 1914

Naturalization Date: May 16, 1939

Witness 1: Wm. Fosdick

Witness 1 Address: 2649 Hoard St., Madison, Wis.

Witness 2: Hardy Borland

Witness 2 Address: 2317 Moland Ave., Madison, Wis.

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: