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Marriage Location:           
Marriage Date:               
Performed by:                
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Groom Name:                  
Immigrant ID:                GERT-09NOV1904-3-5-0014 OCNC-09AUG1911-3-C31-0001 
Age:                          years 
Birth Date:                  
Occupation:                  
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Immigrant ID:                
Age:                          years 
Birth Date:                  
Occupation:                  
Marital Status:              
Home Address:                
Birth Place:                 

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

Bride Father Name:           
Immigrant ID:                
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Bride Mother Name:           
Immigrant ID:                
Birth Place:                 


Comments:
                             certificate: 5644