Dane CCC R202523

Record Type: Signed Petition

Family Name: Gjertson

Given Name: Martin

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

Given Name - Alternate:

Address: Rt. 2 Stoughton, Wis.

Vol/Page (Enter V-PG or Filed YYYY): V 40 P 92

Title/Location of Court: Circuit Court, Dane

Place of Birth:

Date of Birth:

Certificate #: 5005839

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age: 54

Date of admission: May 19, 1941

Date Certificate Issued: May 19, 1941

Petition #: 4329

Alien Registration #: