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Marriage Location:           
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Performed by:                
Witnesses:                   

Groom Name:                  
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Age:                          years 
Birth Date:                  
Occupation:                  
Marital Status:              
Home Address:                
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Bride Name:                  
Immigrant ID:                MWAS-17SEP1909-3-61-0022 
Age:                          years 
Birth Date:                  
Occupation:                  
Marital Status:              
Home Address:                
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Groom Father Name:           
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Groom Mother Name:           
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Birth Place:                 



Bride Father Name:           
Immigrant ID:                CANO-09JAN1906-3-14-0018 
Birth Place:                 



Bride Mother Name:           
Immigrant ID:                CANO-09JAN1906-3-14-0019 MWAS-17SEP1909-3-61-0021 
Birth Place:                 


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