Dane CCC R100586

Record Type: Declaration

Family Name: Anderson

Given Name: Andrew

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

Given Name - Alternate: Andrew Anderson

Address: 317 N Forest St., Stoughton, Wis.

Vol/Page (V-PG or Filed YYYY): 12-294

Title/Location of Court: Circuit Court, Dane

Place of Birth: Laerdal, Norway

Date of Birth: Sept. 17, 1877

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 #: