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Birth ID: Certificate Location: Certificate Number: Birth Location: Birth Date: Name: Immigrant ID: Sex: Parents' Home Address: Father's Name: Immigrant ID: Birth Place: Occupation: Mother's Name: Immigrant ID: STAT-04AUG1901-0-BA-0009 Birth Place: Occupation: No. of Children Born: No. of Children Now Living: Parents' Marriage Date: Parents' Marriage Place: Comments: corrected 5-May-1958 by Zephyr M. Karahadian (self) (of Tamarisk Country Club, Palm Springs, CA)