Dane CCC R101743

Record Type: Declaration

Family Name: Balstad

Given Name: Anton

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

Given Name - Alternate:

Address: Rt. #1, Cottage Grove, Wisconsin

Vol/Page (Enter V-PG or Filed YYYY): 48-2

Title/Location of Court: Circuit Court, Dane

Place of Birth:

Date of Birth:

Certificate #: 6448599

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age: 50

Date of admission: May 20, 1946

Date Certificate Issued: May 20, 1946

Petition #: 5294

Alien Registration #: 3337200