Dane CCC R100895

Record Type: Declaration

Family Name: Anderson

Given Name: Nils

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

Given Name - Alternate: Nels

Address: Mt. Horeb, Wis.

Vol/Page (V-PG or Filed YYYY): V 17 P 30

Title/Location of Court: Circuit Court, Dane

Place of Birth: Aurdal, Norway

Date of Birth: Feb. 6, 1897

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Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

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Age:

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Date Certificate Issued:

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Alien Registration #: