Dane CCC R102057

Record Type: Declaration

Family Name: Becker

Given Name: Simon E.

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

Given Name - Alternate:

Address: Stoughton, Wis.

Vol/Page (V-PG or Filed YYYY): A13-132

Title/Location of Court: Circuit Court, Dane

Place of Birth: Telemarken, Norway

Date of Birth: Mar. 18, 1906

Certificate #:

Port of Arrival: New York City

Arrival Date: May 10, 1880

Naturalization Date: Sept. 26, 1905

Witness 1: H.A. Huber

Witness 1 Address: Stoughton, Wis.

Witness 2: Mary Grane

Witness 2 Address: Stoughton, Wis.

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: