Dane CCC R501777

Record Type: Declaration

Family Name: O'Brien

Given Name: Michael Joseph

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

Given Name - Alternate:

Address: Sauk City, Wis. (RFD)

Vol/Page (Enter V-PG or Filed YYYY): 13-195

Title/Location of Court: Circuit Court, Dane

Place of Birth: Swinford, Ireland

Date of Birth: Aug. 27, 1878

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Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

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Age:

Date of admission:

Date Certificate Issued:

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Alien Registration #: