Dane CCC R304174

Record Type: Petition

Family Name: Jensen

Given Name: Jens Peter

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

Given Name - Alternate:

Address: 2004 Evergreen Ave, Madison, Wis.

Vol/Page (Enter V-PG or Filed YYYY): V14 P 22

Title/Location of Court: Circuit Court, Dane

Place of Birth: Deylerup Denmark

Date of Birth: Jan 16 1871

Certificate #: 687359

Port of Arrival: New York, N.Y.

Arrival Date: June 2, 1917

Naturalization Date: Sept. 17 1917

Witness 1: Osvald C. Anderson

Witness 1 Address: 311 N. Park St. Madison, Wis.

Witness 2: Charles W. Anderson

Witness 2 Address: 124 State St. Madison, Wis.

Age:

Date of admission:

Date Certificate Issued:

Petition #: 1372

Alien Registration #: