HomeMy WebLinkAboutCERNE_KATA_PET. 5412Family name
CERNE
lid dress
House 31,Ontario,
Certificate no.(or vol.and page)
Pet.5412
Country of birth or allegiance
Date and port of arrival In U.S.
Names and addresses of witnesses
I Given name ~;~
Cokeburg,Pa.
111t1e and location of court
When born (or age)
r_~~_~~J!~!~~._
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U.S.DEHRTME>lT OF LABOR,Immigration and
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alization Service.Forlll No.1-IP.14-3202
Certificate canceled ::~aln:~::::_:_~_~:_:I1:_:_~__~_~~:~_:::~_~_:_
Why canceled-----------------------------------------------------------------------------------------------_
Expatrlaled-----------------_______________________Deceased---------------------------------------------_
Oth er facls of record ----------------.--------------------------------------------------_.---------------------
U.S.GOVERNMENT PRINTING OffiCE 14-3202