Dane CCC R304359
Facsimile
Transcription
Record Type: Petition
Family Name: Johansen
Given Name: Carl Adolf
Family Name - Alternate (X- Name at top of card):
Given Name - Alternate:
Address: 1113 Garden Ave. Stoughton, Wis.
Vol/Page (Enter V-PG or Filed YYYY): V4 P 98
Title/Location of Court: Circuit Court, Dane
Place of Birth: Lysaker, Norway
Date of Birth: Aug. 17. 1879
Certificate #: 305902
Port of Arrival: Boston, Mass.
Arrival Date: Apr. 21, 105
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 #: 446
Alien Registration #:
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