Dane CCC R203021

Record Type: Petition

Family Name: Grimstad

Given Name: Nils Olsen

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

Given Name - Alternate:

Address: 2121 Jackson St, Madison, Wis.

Vol/Page (Enter V-PG or Filed YYYY): V 15 P 5

Title/Location of Court: Circuit Court, Dane

Place of Birth: Voss, Norway

Date of Birth: Sept. 21, 1891

Certificate #: 821857

Port of Arrival: Detroit Mich

Arrival Date: May 1, 1909

Naturalization Date: Jan 21, 1918

Witness 1: George Pederson

Witness 1 Address: 515 Clemons Ave, Madison, Wis.

Witness 2: Joseph Anderson

Witness 2 Address: 1505 Williamson St. Madison, Wis.

Age:

Date of admission:

Date Certificate Issued:

Petition #: 1455

Alien Registration #: