Dane CCC R504521

Record Type: Declaration

Family Name: Pryce

Given Name: Serena May

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

Given Name - Alternate:

Address:

Vol/Page (Enter V-PG or Filed YYYY): Order Book-Page 89A

Title/Location of Court: Circuit Court, Dane

Place of Birth: (See other side)

Date of Birth: March 17, 1901

Certificate #:

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: