Marriage ID:                 

Marriage Record Location:    
Marriage Record Number:      

Marriage Location:           
Marriage Date:                date of license (no return)
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:                GLEN-13DEC1919-3-5-0004 
Birth Place:                 

Bride Father Name:           
Immigrant ID:                
Birth Place:                 

Bride Mother Name:           
Immigrant ID:                
Birth Place:                 


Comments:
                             [date of license, no return]