Dane CCC R100776

Record Type: Petition

Family Name: Andersen

Given Name: Jacob

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

Given Name - Alternate:

Address: Stoughton, Wis.

Vol/Page (Enter V-PG or Filed YYYY): A5 P 370

Title/Location of Court: Municipal Court, Dane

Place of Birth: Norway

Date of Birth:

Certificate #:

Port of Arrival:

Arrival Date:

Naturalization Date: Sept. 11, 1906

Witness 1: Paul J. Hanson

Witness 1 Address:

Witness 2: T.O Homme

Witness 2 Address:

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: