H 26716 לח_ שנת 19.45 כיום העיר החופה היתה, 7 8 10 Name and Surname of Father and Mother Calling of Father Residence of Father and Calling of

H ביום 96835 העיר ...

RA הראט אשית The CHIEF Certified that the above is a true extract from the Register of Marriage kept ate office of 708/26716 Date