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Marriage Location:           
Marriage Date:               
Performed by:                
Witnesses:                   

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



Groom Father Name:           
Immigrant ID:                ARGE-30AUG1913-3-39-0001 
Birth Place:                 

Groom Mother Name:           
Immigrant ID:                
Birth Place:                 

Bride Father Name:           
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Birth Place:                 

Bride Mother Name:           
Immigrant ID:                
Birth Place:                 


Comments:
                             bride divorced