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Age:                          years 
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Age:                          years 
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Groom Father Name:           
Immigrant ID:                
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Groom Mother Name:           
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Birth Place:                 

Bride Father Name:           
Immigrant ID:                PATR-17JUL1902-0-B1-0015 CHGO-24MAY1911-3-18-0027 
Birth Place:                 

Bride Mother Name:           
Immigrant ID:                LGSC-13JUN1904-3-B-0002 
Birth Place:                 


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