Marriage solemnised at 2 3. 4 Name and Surname Age השם המלא הבעל Husband Calling Community הערה משלוח היר הגיל Wife האשה ·73715 77 25 13

H העיר כ-A0 החופה היתה ב 0202 A 7 בכ כיום 73715 Residence Name and Surname: Calling Community of Father and Mother Calling of Father and

and Surname of Father and Mother 7 Calling of Father and Mother Residence of Father and Mother השם המלא של אב והאם 73715 Certified that the