H 26301 /244 חיר רושלם החופה היתה ב רושלם 7 8 10 Name and Surname Calling of Father of Father and Mother and Mother Residence of Father and

Certified that the above is a true extract from the Register of Marriage kept at the office of 708/26301 Date 27.48 בכתרה התאריך. in the בעיר. District