Dane CCC R100819

Record Type: Petition

Family Name: Anderson

Given Name: John

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

Given Name - Alternate:

Address:

Vol/Page (Enter V-PG or Filed YYYY): A3 P 258

Title/Location of Court: Municipal Court, Dane

Place of Birth: Denmark

Date of Birth: Oct. 19, 1896

Certificate #:

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1: Sofus Nelson

Witness 1 Address:

Witness 2: Peter H. Peterson

Witness 2 Address:

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: