Dane CCC R102724

Record Type: Petition

Family Name: Bjork

Given Name: Herman

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

Given Name - Alternate:

Address: 418 S. Baldwin St., Madison, Wis.

Vol/Page (V-PG or Filed YYYY): 1431 Vol 14-P 81

Title/Location of Court: Circuit Court, Dane

Place of Birth: Sunne, Vermland, Sweden

Date of Birth: May 5, 1878

Certificate #: 687365

Port of Arrival: New York, N.Y.

Arrival Date: Oct. 16, 1907

Naturalization Date: Sept. 17, 1917

Witness 1: C. A. Genske

Witness 1 Address: 1004 Sherman Ave., Madison, Wis.

Witness 2: M. Griffiths

Witness 2 Address: 412 S. Baldwin St., Madison, Wis.

Age:

Date of admission:

Date Certificate Issued:

Petition #:

Alien Registration #: