Dane CCC R102776

Record Type: Declaration

Family Name: Balndina

Given Name: (Sister)

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

Given Name - Alternate:

Address: 303 W. Washington Ave., Madison, Wis.

Vol/Page (Enter V-PG or Filed YYYY): 10-223

Title/Location of Court: Circuit Court, Dane

Place of Birth: Hollyford, Ireland

Date of Birth: July 10, 1881

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 #: