Dane CCC R200457

Record Type: Petition

Family Name: Erickson

Given Name: Theodore Willhelm

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

Given Name - Alternate:

Address: 114 Jackson St, Madison, Wis.

Vol/Page (Enter V-PG or Filed YYYY): V 41 P 2

Title/Location of Court: Circuit Court, Dane

Place of Birth: Sweden

Date of Birth: Aug. 4, 1897

Certificate #:

Port of Arrival: New York, N.Y.

Arrival Date: 11/5/24

Naturalization Date: (see other side)

Witness 1: A. Kenneth Hovig

Witness 1 Address: 421 Jean St, Madison, Wis.

Witness 2: Wm. O. Simmons

Witness 2 Address: 2221 Myrtle St, Madison, Wis.

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: