Dane CCC R305264

Record Type: Declaration

Family Name: Julsen

Given Name: Ingeborg Helene

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

Given Name - Alternate:

Address: 318 W Mifflin St. Madison, Wis.

Vol/Page (Enter V-PG or Filed YYYY): V17 P 285

Title/Location of Court: Circuit Court, Dane

Place of Birth: Kulleside, Norway

Date of Birth: Oct. 7, 1884

Certificate #:

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: