Dane CCC R602148

Record Type: Petition

Family Name: Selstad

Given Name: Andrew

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

Given Name - Alternate:

Address: Burke, Wis.

Vol/Page (Enter V-PG or Filed YYYY): A5-73

Title/Location of Court: Municipal Court, Dane

Place of Birth: Norway

Date of Birth:

Certificate #:

Port of Arrival:

Arrival Date:

Naturalization Date: Oct. 29, 1904

Witness 1: W.J. Selstad

Witness 1 Address: Madison, Wis.

Witness 2: Ole E. Agerjord

Witness 2 Address: Stoughton, Wis.

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: