Dane CCC R703044

Record Type: Signed Petition

Family Name: Burkhardt

Given Name: Ulrich

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

Given Name - Alternate:

Address: Belleville,Wisconsin Rt. 2

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

Title/Location of Court: Circuit Court, Dane

Place of Birth:

Date of Birth:

Certificate #: 3357585

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age: 32

Date of admission: 5/18/31

Date Certificate Issued: 5/18/31

Petition #: 3215

Alien Registration #: