Dane CCC R101050

Record Type: Declaration

Family Name: Andreason

Given Name: George

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

Given Name - Alternate:

Address: 1137 E. Mifflin St., Madison, Wis/

Vol/Page (V-PG or Filed YYYY): V 7 P 119

Title/Location of Court: Circuit Court, Dane

Place of Birth: Dahle Bruvik, Russia

Date of Birth: Sept. 21, 1891

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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 #: