Marriage ID:                 

Marriage Record Location:    
Marriage Record Number:      

Marriage Location:           
Marriage Date:               
Performed by:                
Witnesses:                   

Groom Name:                  
Immigrant ID:                
Age:                          years 
Birth Date:                  
Occupation:                  
Marital Status:              
Home Address:                
Birth Place:                 

Bride Name:                  
Immigrant ID:                ADRI-15JAN1921-3-C16-0027 
Age:                          years 
Birth Date:                  
Occupation:                  
Marital Status:              
Home Address:                
Birth Place:                 

Groom Father Name:           
Immigrant ID:                
Birth Place:                 

Groom Mother Name:           
Immigrant ID:                
Birth Place:                 

Bride Father Name:           
Immigrant ID:                
Birth Place:                 

Bride Mother Name:           
Immigrant ID:                
Birth Place:                 


Comments:
                             filed in Vol. 11, p. 400