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Groom Name:                  
Immigrant ID:                STLR-28DEC1906-3-9-0005 LSNE-04AUG1912-3-6-0017 
Age:                          years 
Birth Date:                  
Occupation:                  
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Bride Name:                  
Immigrant ID:                MCLM-26JAN1922-3--0185 
Age:                          years 
Birth Date:                  
Occupation:                  
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Home Address:                
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Immigrant ID:                
Birth Place:                 

Bride Father Name:           
Immigrant ID:                
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Immigrant ID:                
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