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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: LCHM-10JAN1899-0-T-0014 Birth Place: Occupation: Mother's Name: Immigrant ID: ULTO-16MAR1906-3-A2-0017 Birth Place: Occupation: No. of Children Born: No. of Children Now Living: Parents' Marriage Date: Parents' Marriage Place: Comments: last name changed to Martin (2-May-1956)