Dane CCC R200745

Record Type: Signed Petition

Family Name: Fagerstrom

Given Name: Gustaf Erik

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

Given Name - Alternate:

Address: 2745 Union Street, Madison, Wis.

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

Title/Location of Court: Circuit Court, Dane

Place of Birth:

Date of Birth:

Certificate #: 4701902

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age: 48

Date of admission: Sept. 18, 1939

Date Certificate Issued:

Petition #:

Alien Registration #: