Dane CCC R201401

Record Type: Petition

Family Name: Forsmo

Given Name: Kristian Johan Dinesen

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

Given Name - Alternate:

Address: Black Earth, Wis.

Vol/Page (Enter V-PG or Filed YYYY): 17-94

Title/Location of Court: Circuit Court, Dane

Place of Birth: Evenes Ofoten, Norway

Date of Birth: May 4, 1866

Certificate #: 1114287

Port of Arrival: Detroit, Mich.

Arrival Date: May 8, 1913

Naturalization Date: June 21, 1920

Witness 1: A.J. Dybdahl

Witness 1 Address: Black Earth, Wis.

Witness 2: Martin Haugen

Witness 2 Address: Black Earth, Wis.

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: