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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: MAAS-10JUN1901-0-B-0011 Birth Place: Occupation: Mother's Name: Immigrant ID: LPRV-17JUL1908-3-11-0027 Birth Place: Occupation: No. of Children Born: No. of Children Now Living: Parents' Marriage Date: Parents' Marriage Place: Comments: filed in Book 1, p. 189 / [mother's name is actually that of the paternal grandmother]