Dane CCC R201217

Record Type: Declaration

Family Name: Fjellsbo

Given Name: Hans Mical Annaniason

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

Given Name - Alternate:

Address: 2121 Winnebago St., Madison, Wis.

Vol/Page (Enter V-PG or Filed YYYY): Vol 28-P 136

Title/Location of Court: Circuit Court, Dane

Place of Birth: Bergen, Norway

Date of Birth: May 9, 1896

Certificate #: 28547003036

Port of Arrival: Boston, Mass.,

Arrival Date: May 21, (1923)

Naturalization Date: Feb. 18, 1929

Witness 1: William R. Brunsell,

Witness 1 Address: 914 Lake Ct., Madison, (Wis.)

Witness 2: Ben Landsness,

Witness 2 Address: 234 Oak St., Madison, Wis.

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: