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:                
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:                KFJI-17JUN1913-3-52-0022 POLO-29JUN1913-3-40-0012 
Birth Place:                 

Bride Mother Name:           
Immigrant ID:                LBRT-07NOV1906-3-7-0014 FRAN-20AUG1914-3-11-0001 
Birth Place:                 


Comments: