Dane CCC R100507

Record Type: Signed Petition

Family Name: Amundson

Given Name: Lena

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

Given Name - Alternate:

Address: 906 Stoughton ave., Stoughton, Wis.

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

Title/Location of Court: Other

Place of Birth:

Date of Birth:

Certificate #: 4896957

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age: 80

Date of admission: May 19, 1941

Date Certificate Issued: May 19, 1941

Petition #: 4207

Alien Registration #: