Dane CCC R200618

Record Type: Signed Petition

Family Name: EVENSON

Given Name: Bergliot Karola

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

Given Name - Alternate:

Address: Route 4, Monona Drive, Madison, Wisconsin

Vol/Page (Enter V-PG or Filed YYYY): Volume 40 page 76

Title/Location of Court: Other

Place of Birth:

Date of Birth:

Certificate #: 5005828

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age: 41

Date of admission: May 19, 1941

Date Certificate Issued: May 19, 1941

Petition #: 4313

Alien Registration #: