Dane CCC R102741

Record Type: Declaration

Family Name: Bjurstrom

Given Name: Ebba Hildegaard

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

Given Name - Alternate:

Address: 30 S. Franklin St., Madison, Wis.

Vol/Page (Enter V-PG or Filed YYYY): 8-233

Title/Location of Court: Circuit Court, Dane

Place of Birth: Torsby, Bermland, Sweden

Date of Birth: Mar. 15, 1893

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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 #: