Dane CCC R201446

Record Type: Petition

Family Name: Fossen

Given Name: Hans

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

Given Name - Alternate:

Address: McFarland, Wis.

Vol/Page (Enter V-PG or Filed YYYY): 16-230

Title/Location of Court: Circuit Court, Dane

Place of Birth: Sogn, Norway

Date of Birth: Mar. 28, 1892

Certificate #: 1114185

Port of Arrival: Philadelphia, Pa.

Arrival Date: Apr. 11, 1911

Naturalization Date: Oct. 20, 1919

Witness 1: Andrew N. Barsnes

Witness 1 Address: 1936 E. Main St., Madison, Wis.

Witness 2: Andrew O. Sperle

Witness 2 Address: Stoughton, Wis.

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: