Dane CCC R303829

Record Type: Signed Petition

Family Name: JAARSMA

Given Name: Dora

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

Given Name - Alternate:

Address: Rt. 50, Madison Wis.

Vol/Page (V-PG or Filed YYYY): 41/77

Title/Location of Court: Circuit Court, Dane

Place of Birth:

Date of Birth:

Certificate #: 5243831

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age: 38

Date of admission: May 20, 1941

Date Certificate Issued: May 20, 941

Petition #: 4415

Alien Registration #: