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:                GWAS-06AUG1912-3-30-0003 
Birth Place:                 

Bride Mother Name:           
Immigrant ID:                GWAS-06AUG1912-3-30-0004 
Birth Place:                 


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