Dane CCC R304189

Record Type: Petition

Family Name: Jensen

Given Name: John Bernt

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

Given Name - Alternate:

Address: Morrisonville, Wis.

Vol/Page (Enter V-PG or Filed YYYY): V6 P 94

Title/Location of Court: Circuit Court, Dane

Place of Birth: Bergen, Norway

Date of Birth: July 22m 1869

Certificate #: 399393

Port of Arrival: Fargo, ND via Quebec (Canada)

Arrival Date: May 5, 1893

Naturalization Date: Nov. 17 1913

Witness 1: Chas. Eldridge

Witness 1 Address: Morrisonville, Wis.

Witness 2: Andrew Skutley

Witness 2 Address: Morrisonville, Wis.

Age:

Date of admission:

Date Certificate Issued:

Petition #: 644

Alien Registration #: