Dane CCC R200950

Record Type: Declaration

Family Name: Felland

Given Name: Sammund Thorson (Sam)

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

Given Name - Alternate:

Address: DeForest, Wis. (RFD #1)

Vol/Page (Enter V-PG or Filed YYYY): 19 - 17

Title/Location of Court: Circuit Court, Dane

Place of Birth: Moe, Telemarken, Norway

Date of Birth: Jan. 13, 1888

Certificate #: 11490212017

Port of Arrival: New York, N.Y.,

Arrival Date: July 11, (1904)

Naturalization Date: Feb. 21, 1921

Witness 1: Robert N. Nelson

Witness 1 Address: 1206 Milwaukee St., Madison, (Wis.)

Witness 2: A.A. Linde

Witness 2 Address: DeForest, Wis.

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: