Dane CCC R201655

Record Type: Declaration

Family Name: Fredrickson

Given Name: Fredrick Bernhard

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

Given Name - Alternate:

Address: Mt. Horeb, Wis

Vol/Page (Enter V-PG or Filed YYYY): 11-149

Title/Location of Court: Circuit Court, Dane

Place of Birth: Gjovik, Norway

Date of Birth: Aug. 11, 1866

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Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: