Dane CCC R201442

Record Type: Petition

Family Name: Fossem

Given Name: Nels August

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

Given Name - Alternate:

Address: 326 N. Division St., Stoughton, Wis.

Vol/Page (Enter V-PG or Filed YYYY): 10-90

Title/Location of Court: Circuit Court, Dane

Place of Birth: Bergen, Norway

Date of Birth: July 16,1880

Certificate #: 524217

Port of Arrival: New York, N.Y.

Arrival Date: May 1, 1907

Naturalization Date: Jan. 18, 1915

Witness 1: Paul J. Hanson

Witness 1 Address: Stoughton, Wis.

Witness 2: Hagbarth Hanson

Witness 2 Address: 1112 Bark Street., Stoughton, Wis.

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: