ENVERM Nat Cards 452T_2969
Facsimile
Transcription
Last Name (Family Name): Kosmah
First Name (Given Name): Jakob
Street Address:
City of Residence:
Certificate No. (or vol. and page): 2747256
Country of Birth or Allegiance:
Date of Birth (MM/DD/YYYY):
Age: 42
Port of Arrival In U.S.:
Date of Arrival in U.S. (MM/DD/YYYY):
Date of Naturalization (MM/DD/YYYY):
Date Certificate Issued (MM/DD/YYYY):
Additional Information in Court Record: Petition No 763 Declaration Of Intention No 6999 Wife Matilda, 25, Universal, Box 86, Children Francis born 12/22/1921, Josephine, born 09/10/1926
Notes and Questions
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Discrepancy between printed name and signature
Both names are correct: printed name: Jakob Kosmah and signed name: Jack Kosmach
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