Dane CCC R602316

Record Type: Declaration

Family Name: Severtsen

Given Name: Severts

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

Given Name - Alternate:

Address:

Vol/Page (Enter V-PG or Filed YYYY): A10-305

Title/Location of Court: Circuit Court, Dane

Place of Birth: Norway

Date of Birth:

Certificate #:

Port of Arrival:

Arrival Date:

Naturalization Date: Nov. 9, 1874

Witness 1: Lars J. Erdall

Witness 1 Address:

Witness 2: A. C. Jergo

Witness 2 Address:

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: