H 40652 העיר ירושלים חחרפה היתה ב רושלים ביום שלשים 7 10 Name and Surname of Father and Mother Calling of Father and Mother Residence of

Jol, sbr הר אך CHIEF of Certified that the above is a true extract from the Register of Marriage kept at the offige 409/40652 Date 21/6/49 במחוז התאריך