Dane CCC R101749

Record Type: Declaration

Family Name: Balstad

Given Name: Edward Larsen

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

Given Name - Alternate:

Address: Cambridge, Wis.

Vol/Page (Enter V-PG or Filed YYYY): 335 Vol 3-P 86

Title/Location of Court: Circuit Court, Dane

Place of Birth: Thingvold, Norwar

Date of Birth: Nov. 13, 1880

Certificate #: 254168

Port of Arrival: New York, N.Y.

Arrival Date: Sept. 21, 1903

Naturalization Date: Mar. 25, 1912

Witness 1: John Christianson

Witness 1 Address: Cambridge, Wis.

Witness 2: Geo K. Strommen

Witness 2 Address: Cambridge, Wis.

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: