VERM Nat Cards 453U_2801

Last Name (Family Name): Worek

First Name (Given Name): Mary

Street Address: 822 North 7th Street

City of Residence: Clinton

Certificate No. (or vol. and page): 5465631

Country of Birth or Allegiance:

Date of Birth (MM/DD/YYYY):

Age: 64

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): 05/03/1943

Additional Information in Court Record: Petition No 1670, Alien Reg No 5068891