Dane CCC R200351

Record Type: Declaration

Family Name: Eriksson

Given Name: Erik Bertil

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

Given Name - Alternate:

Address: 614 Gilmore St, Madison Wis.

Vol/Page (Enter V-PG or Filed YYYY): V19 P 139

Title/Location of Court: Circuit Court, Dane

Place of Birth: Stockholm Sweden

Date of Birth: 10/16/24

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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 #: