Dane CCC R603674

Record Type: Signed Petition

Family Name: Staub

Given Name: Gottfried

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

Given Name - Alternate:

Address: 4265 Avon Road, Madison 5, Wisconsin

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

Title/Location of Court: Circuit Court, Dane

Place of Birth:

Date of Birth:

Certificate #: 6497388

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age: 52

Date of admission: Nov. 3, 1948

Date Certificate Issued: Nov. 3, 1948

Petition #: 5379

Alien Registration #: 3627189