Birth ID:                    

Certificate Location:        
Certificate Number:          

Birth Location:              
Birth Address:               
Birth Date:                  

Name:                        
Immigrant ID:                ARBC-02NOV1911-2-9-0030 
Sex:                         

Parents' Home Address:       



Father's Name:               
Immigrant ID:                PARI-15MAR1897-3--0161 STPA-29MAR1902-3-Y-0004 PHIL-09DEC1905-2-3-0004 
Birth Place:                 
Occupation:                  

Mother's Name:               
Immigrant ID:                PHIL-09DEC1905-2-3-0005 ARBC-02NOV1911-2-9-0029 
Birth Place:                 
Occupation:                  

No. of Children Born:        
No. of Children Now Living:  

Parents' Marriage Date:      
Parents' Marriage Place:     


Comments:
                             last name corrected to Gajarian, 27-Jul-1966 / birth location: 24 McLean St., Boston, MA