Dane CCC R703892

Record Type: Signed Petition

Family Name: Stein

Given Name: Maria

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

Given Name - Alternate:

Address: 1049 E. Gorham Street, Madison, Wis.

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

Title/Location of Court: Circuit Court, Dane

Place of Birth:

Date of Birth:

Certificate #: 3356077

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age: 29

Date of admission: 2/16/31

Date Certificate Issued: 2/16/31

Petition #: 3186

Alien Registration #: