Dane CCC R305176

Record Type: Petition

Family Name: Jorgenson

Given Name: Hans Frederik Christian

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

Given Name - Alternate:

Address: Cottage Grove, Wil. (R.F.D. #1)

Vol/Page (Enter V-PG or Filed YYYY): 17-15

Title/Location of Court: Circuit Court, Dane

Place of Birth: Copenhagen, Denmark

Date of Birth: Dec. 19, 1879

Certificate #: 1149013

Port of Arrival: New York, NY

Arrival Date: Mar. 28, 1914

Naturalization Date: Nov. 15, 1920

Witness 1: A.C. Brickson

Witness 1 Address: Stoughton, Wis. (R.F.D. #1)

Witness 2: Hans Lythjohn

Witness 2 Address: Stoughton, Wis. (R.F.D. #1)

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: