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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: LGSC-07MAR1898-0-K-0029 Birth Place: Occupation: Mother's Name: Immigrant ID: LGSC-19AUG1901-0-Q-0018 Birth Place: Occupation: No. of Children Born: No. of Children Now Living: Parents' Marriage Date: Parents' Marriage Place: Comments: filed in Book III, p. 62