Dane CCC R103004

Record Type: Declaration

Family Name: Bollig

Given Name: Bernard

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

Given Name - Alternate:

Address:

Vol/Page (V-PG or Filed YYYY): Filed 1856

Title/Location of Court: Circuit Court, Dane

Place of Birth: Prussia

Date of Birth:

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 #: