Dane CCC R504505

Record Type: Signed Petition

Family Name: Pronin

Given Name: Dimitri

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

Given Name - Alternate:

Address: 2922 Monroe St., Madison, Wisconsin

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

Title/Location of Court: Circuit Court, Dane

Place of Birth:

Date of Birth: Oct. 25, 1900

Certificate #: 7096638

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age:

Date of admission: 5/18/53

Date Certificate Issued: 5/18/53

Petition #: 5513

Alien Registration #: