Dane CCC R303917

Record Type: Petition

Family Name: Jacobsen

Given Name: Marius

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

Given Name - Alternate:

Address: 1107 Garden Ave., Stoughton, Wis.

Vol/Page (Enter V-PG or Filed YYYY): V4 P 100

Title/Location of Court: Circuit Court, Dane

Place of Birth: Nannestad Norway

Date of Birth: Feb 24, 1875

Certificate #: 305904

Port of Arrival: New York, N.Y.

Arrival Date: July 3, 1903

Naturalization Date: Sept. 16, 1912

Witness 1: Carl Hedemark

Witness 1 Address: 900 Summit Ave. Stoughton, Wis.

Witness 2: Tom O. Rue

Witness 2 Address: 906 E. South St. Stoughton, Wis.

Age:

Date of admission:

Date Certificate Issued:

Petition #: 448

Alien Registration #: