Dane CCC R305193

Record Type: Petition

Family Name: Jorgensen

Given Name: Mads

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

Given Name - Alternate: Johnson

Address: 117 N. Butler Madison, Wis.

Vol/Page (Enter V-PG or Filed YYYY): V41 P 39

Title/Location of Court: Circuit Court, Dane

Place of Birth: Denmark

Date of Birth: Dec. 1, 1878

Certificate #: 5243847

Port of Arrival: New York, N.Y.

Arrival Date: 7/19/01

Naturalization Date: May 20, 1941

Witness 1: Wm. G. Peterson

Witness 1 Address: 117 N. Butler Madison, Wis.

Witness 2: Julia Kronenberg

Witness 2 Address: 1456 Williamson, Madison, Wis.

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: