H 28243 20 Her Ziyona 2013 of m Town Calling of Father and Mother 6 8 Residence of Father and Mother בייס J Name and Surname of Witnesses

והאם משלח ידם של האב והאם ברה 16 Certified that the above is a true extract from the Register of Marriage kept at the office of Date 28243 במחוז התאריך