Dane CCC R200814

Record Type: Declaration

Family Name: Farberg,

Given Name: Clara Larsen

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

Given Name - Alternate:

Address: 113 W. Broadway, Stoughton, Wis.

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

Title/Location of Court: Circuit Court, Dane

Place of Birth:

Date of Birth:

Certificate #: 6062039

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age: 72

Date of admission: May 16,1944

Date Certificate Issued: May 16, 1944

Petition #: 5098

Alien Registration #: