Dane CCC R600907

Record Type: Declaration

Family Name: Sansmark

Given Name: Adolph Nelsen

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

Given Name - Alternate:

Address: 201 S. Franklin St., Stoughton, Wis.

Vol/Page (Enter V-PG or Filed YYYY): Vol. 4/Pg. 56

Title/Location of Court: Circuit Court, Dane

Place of Birth: Sandsmark,Norway

Date of Birth: Jan 5., 1889

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 #: