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Birth ID: Certificate Location: Certificate Number: Birth Location: Birth Address: Birth Date: Name: Immigrant ID: CONS-08DEC1922-2-UC4-0011 Sex: Parents' Home Address: Father's Name: Immigrant ID: PWIL-29DEC1919-3-10-0009 Birth Place: Occupation: Mother's Name: Immigrant ID: Birth Place: Occupation: No. of Children Born: No. of Children Now Living: Parents' Marriage Date: Parents' Marriage Place: Comments: parents' residence in Ward 15