Dane CCC R501613

Record Type: Declaration

Family Name: Notes

Given Name: Pete

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

Given Name - Alternate: Epaminondas

Address: 430 W. Gorham St., Madison, Wis.

Vol/Page (Enter V-PG or Filed YYYY): 17-22

Title/Location of Court: Circuit Court, Dane

Place of Birth: Koupakion, Greece

Date of Birth: Aug. 2, 1886

Certificate #:

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: