Dane CCC R200440

Record Type: Petition

Family Name: Eriksen

Given Name: Peder

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

Given Name - Alternate:

Address: 109 W. Jefferson St, Stoughton, Wis.

Vol/Page (Enter V-PG or Filed YYYY): V4 P 13

Title/Location of Court: Circuit Court, Dane

Place of Birth: Ness Hedermark, Norway

Date of Birth: Jan 3, 1883

Certificate #: 305859

Port of Arrival: New York, N.Y.

Arrival Date: Mar 27, 1903

Naturalization Date: Sept,. 16, 1912

Witness 1: H.A. Huber

Witness 1 Address: Stoughton, Wis.

Witness 2: L.I. Quam

Witness 2 Address: Stoughton, Wis.

Age:

Date of admission:

Date Certificate Issued:

Petition #: 362

Alien Registration #: