Dane CCC R200662

Record Type: Petition

Family Name: Evensen

Given Name: Simen

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

Given Name - Alternate:

Address: 602 East South Street, Stoughton, Wisconsin

Vol/Page (Enter V-PG or Filed YYYY): 2320 Volume 22 Page 20

Title/Location of Court: Circuit Court, Dane

Place of Birth: Ness, Hedemarken

Date of Birth: March 17, 1862

Certificate #:

Port of Arrival: Detroit, Michigan

Arrival Date: September 9, ----

Naturalization Date:

Witness 1: Benny Gilbertson

Witness 1 Address: 110 Lynn Street, Stoughton, Wisconsin

Witness 2: Henry B. Hill

Witness 2 Address: 702 East Main Street, Stoughton, Wisconsin

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: