Dane CCC R201403

Record Type: Petition

Family Name: Forsmo

Given Name: Sigurd Deciderius

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

Given Name - Alternate:

Address: Black Earth, Wis. (RFD #2)

Vol/Page (Enter V-PG or Filed YYYY): 22-91

Title/Location of Court: Circuit Court, Dane

Place of Birth: Evenes, Norway

Date of Birth: Apr. 6, 1895

Certificate #: 1872020

Port of Arrival: Detroit, Mich.

Arrival Date: May 8, 1913

Naturalization Date: Nov. 19, 1923

Witness 1: Henry Venden

Witness 1 Address: Black Earth, Wis. (RFD #1)

Witness 2: Theodore Wilkins

Witness 2 Address: Black Earth, Wis. (RFD #2)

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: