Dane CCC R303789

Record Type: Signed Petition

Family Name: Iverson

Given Name: Fred

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

Given Name - Alternate:

Address: 206 S. Lynn St., Stoughton, Wis.

Vol/Page (Enter V-PG or Filed YYYY): 46-36

Title/Location of Court: Circuit Court, Dane

Place of Birth: Selo, Norway

Date of Birth: 7/5/78

Certificate #: 6398154

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age: 66

Date of admission: Nov. 13, 1944

Date Certificate Issued: Nov. 13, 1944

Petition #: 5131

Alien Registration #: