Dane CCC R100434

Record Type: Declaration

Family Name: Amdal

Given Name: Eartvik

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

Given Name - Alternate:

Address: 518 E. Wilson St., Madison, Wis.

Vol/Page (V-PG or Filed YYYY): V 11 P 131

Title/Location of Court: Circuit Court, Dane

Place of Birth: Stavanger, Norway

Date of Birth: May 18, 1899

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 #: