Dane CCC R200833

Record Type: Declaration

Family Name: Farnsworth

Given Name: Lewis

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

Given Name - Alternate:

Address: 115 N. Bassett St., Madison, Wisconsin

Vol/Page (Enter V-PG or Filed YYYY): 18 - 317

Title/Location of Court: Circuit Court, Dane

Place of Birth: Hadfield, England

Date of Birth: March 26, 1872

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 #: