Dane CCC R201962

Record Type: Declaration

Family Name: Galgum

Given Name: Andreu Emilsen

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

Given Name - Alternate:

Address: Stoughton, Wis. (% Hans Fisher)

Vol/Page (Enter V-PG or Filed YYYY): 8-122

Title/Location of Court: Circuit Court, Dane

Place of Birth: Christiania, Norway

Date of Birth: May 6, 1893

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Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age:

Date of admission:

Date Certificate Issued:

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Alien Registration #: