Dane CCC R504480

Record Type: Signed Petition

Family Name: Price

Given Name: Roma Mary

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

Given Name - Alternate:

Address: 4417 Shorsacres Rd., Madison, Wis.

Vol/Page (Enter V-PG or Filed YYYY): 50-21

Title/Location of Court: Circuit Court, Dane

Place of Birth:

Date of Birth: 7-20-21

Certificate #: 7096664

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age:

Date of admission: 5-17-54

Date Certificate Issued: 5-17-54

Petition #: 5537

Alien Registration #: 6502239