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Groom Name:                  
Immigrant ID:                NYRK-17JUN1912-3-C2-0008 NAMS-04AUG1923-3-100-0020 
Age:                          years 
Birth Date:                  
Occupation:                  
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Home Address:                
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Bride Name:                  
Immigrant ID:                ILDF-24SEP1929-3-11-0019 
Age:                          years 
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Occupation:                  
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Groom Father Name:           
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Groom Mother Name:           
Immigrant ID:                
Birth Place:                 

Bride Father Name:           
Immigrant ID:                LEVI-08NOV1927-3-25-0022 
Birth Place:                 

Bride Mother Name:           
Immigrant ID:                ASIA-21JUN1921-3-3-0023 
Birth Place:                 


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