Dane CCC R303908

Record Type: Petition

Family Name: Jacobson

Given Name: John

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

Given Name - Alternate:

Address: 204 Hillside Ave. Stoughton, Wis.

Vol/Page (Enter V-PG or Filed YYYY): V 36 P 58

Title/Location of Court: Circuit Court, Dane

Place of Birth: Kvanvik Norway

Date of Birth: Aug. 26, 1899

Certificate #: 4555128

Port of Arrival: New York, N.Y.

Arrival Date: May 13, 1920

Naturalization Date: May 15, 1939

Witness 1: Gregory Christensen

Witness 1 Address: 1-8 W. Washington St. Stoughton, Wis.

Witness 2: Frank A Montague

Witness 2 Address: 611 Ridge St. Stoughton, Wis.

Age:

Date of admission:

Date Certificate Issued:

Petition #: 3892

Alien Registration #: