Dane CCC R200044

Record Type: Petition

Family Name: Elvetun

Given Name: Tom Pederson

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

Given Name - Alternate:

Address: Mt. Horeb, Wis.

Vol/Page (Enter V-PG or Filed YYYY): 10-94

Title/Location of Court: Circuit Court, Dane

Place of Birth: Vang Valders, Norway

Date of Birth: Nov. 23, 1875

Certificate #:

Port of Arrival: Philadelphia, Pa.

Arrival Date: Apr. 19, 1892

Naturalization Date:

Witness 1: S. Kittleson

Witness 1 Address: 430 W. Gorham St., Madison, Wis.

Witness 2: M. A. Field

Witness 2 Address: Mt. Horeb, Wis.

Age:

Date of admission:

Date Certificate Issued:

Petition #: 1044

Alien Registration #: