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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: NIAG-03SEP1912-3-6-0012 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: Birth Place: Bride Mother Name: Immigrant ID: Birth Place: Comments: filed in Book Z, p. 130