Dane CCC R703257

Record Type: Declaration

Family Name: Esser

Given Name: Angela Haas

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

Given Name - Alternate:

Address: 1105 Emerald St., Madison, Wisconsin

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

Title/Location of Court: Circuit Court, Dane

Place of Birth:

Date of Birth:

Certificate #: 3880249

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age: 29

Date of admission:

Date Certificate Issued:

Petition #: 3516

Alien Registration #: