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Birth ID: Certificate Location: Certificate Number: Birth Location: Birth Date: Name: Immigrant ID: BELV-15NOV1913-2-U13-0003 ? Sex: Parents' Home Address: Father's Name: Immigrant ID: ROTT-05NOV1900-0-C-0014 ALIC-07JUN1911-2-2-0012 GULD-18JUL1921-3-U6-0002 Birth Place: Occupation: Mother's Name: Immigrant ID: SICI-15SEP1904-3-1-0014 BELV-15NOV1913-2-U13-0001 Birth Place: Occupation: No. of Children Born: No. of Children Now Living: Parents' Marriage Date: Parents' Marriage Place: Comments: filed in Book III, p. 46