Dane CCC R102470

Record Type: Signed Petition

Family Name: Berntsen

Given Name: Peter

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

Given Name - Alternate:

Address: 312 N. 5th St. Madison, Wisconsin

Vol/Page (V-PG or Filed YYYY): Vol.43 Page 89

Title/Location of Court: Circuit Court, Dane

Place of Birth:

Date of Birth:

Certificate #: 5448367

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age: 25

Date of admission: November 9, 1942

Date Certificate Issued: November 9, 1942

Petition #: 4718

Alien Registration #: