Dane CCC R600856

Record Type: Declaration

Family Name: Sampson

Given Name: Lars

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

Given Name - Alternate:

Address:

Vol/Page (Enter V-PG or Filed YYYY): A10-171

Title/Location of Court: Circuit Court, Dane

Place of Birth:

Date of Birth: 1827

Certificate #:

Port of Arrival:

Arrival Date:

Naturalization Date: Apr. 12, 1869

Witness 1: Ole Thompson

Witness 1 Address:

Witness 2: Gabriel Bjornson

Witness 2 Address:

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: