| DATE | ? ? ? | LOCATION | ||
| GROOM'S NAME | BRIDE'S NAME | |||
| GROOM'S AGE | BRIDE'S AGE | |||
| GROOM'S OCCUPATION | BRIDE'S OCCUPATION | |||
| GROOM'S CONDITION | BRIDE'S CONDITION | |||
| FATHER'S NAME | FATHER'S NAME | |||
| FATHER'S OCCUPATION | FATHER'S OCCUPATION | |||
| ADDRESS | ADDRESS | |||
| CHURCH/DISTRICT | ||||
| ADDITIONAL INFORMATION |
Witness: , Witness: , |
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| SOURCE |
Record
Record Origin: |
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