H 40930 ירושלים מחוז 19 Residence כ"א סיון ת"ש 19 Town ביום עשרים ושנער יונ טנת Name and Surname of Father and Mother Calling of Father and

314 31 / האשה Wife 76 01/ 113=//= Certified that the above is a true extract from the Register of Marriage kept at the office of of 401 40930 Date 10.7