Dane CCC R504625

Record Type: Petition

Family Name: Quam

Given Name: Andrew Jenson

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

Given Name - Alternate:

Address: 813 S. Page St., Stoughton, Wis.

Vol/Page (Enter V-PG or Filed YYYY): 4-63

Title/Location of Court: Circuit Court, Dane

Place of Birth: Lavik, Norway

Date of Birth: Feb 23, 1878

Certificate #: 305931

Port of Arrival: New York, N.Y.

Arrival Date: May 28, 1900

Naturalization Date: Sept. 16, 1912

Witness 1: W. H. Penewell

Witness 1 Address: Oak St., Stoughton, Wis.

Witness 2: J. G. Kroken

Witness 2 Address: Madison, Wis.

Age:

Date of admission:

Date Certificate Issued:

Petition #: 411

Alien Registration #: