Dane CCC R703571

Record Type: Signed Petition

Family Name: Larsen

Given Name: Henry Emanuel

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

Given Name - Alternate:

Address: 2410 E. Dayton St., Madison, Wisconsin

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

Title/Location of Court: Circuit Court, Dane

Place of Birth:

Date of Birth:

Certificate #: 3531044

Port of Arrival:

Arrival Date:

Naturalization Date:

Witness 1:

Witness 1 Address:

Witness 2:

Witness 2 Address:

Age: 32

Date of admission: 10/3/32

Date Certificate Issued: 10/3/32

Petition #: 3291

Alien Registration #: