Dane CCC R102434

Record Type: Declaration

Family Name: Berloit

Given Name: Gabriel Eli

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

Given Name - Alternate:

Address: Tn. of Primrose, Dane Co. Wis.

Vol/Page (V-PG or Filed YYYY): 2-65

Title/Location of Court: Circuit Court, Dane

Place of Birth: Dalerne, Norway

Date of Birth: Mar. 25, 1886

Certificate #:

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 #: