Dane CCC R600843

Record Type: Petition

Family Name: Sampson

Given Name: Andrew

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

Given Name - Alternate:

Address:

Vol/Page (Enter V-PG or Filed YYYY): A5-487

Title/Location of Court: Circuit Court, Dane

Place of Birth: Norway

Date of Birth:

Certificate #:

Port of Arrival:

Arrival Date:

Naturalization Date: Sept. 18, 1906

Witness 1: H.A. Huber

Witness 1 Address:

Witness 2: Benny Gilbertson

Witness 2 Address:

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: