Dane CCC R105390

Record Type: Declaration

Family Name: Eilertsen

Given Name: Daniel Tom

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

Given Name - Alternate:

Address: 420 N. Lake St., Madison, Wis.

Vol/Page (Enter V-PG or Filed YYYY): 8-282

Title/Location of Court: Circuit Court, Dane

Place of Birth: Flekkefjord, Norway

Date of Birth: Jan. 4, 1898

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Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

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Age:

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