Cleveland, Cuyahoga County, OH
Application Number: 77534 Issued Dec. 30, 1911
Age: 28 Address: 3578 East 75th St.
Place of Birth: Bohemia
Father's name: Jos.
Mother's Maiden Name: Maria Kosarz
Age: 19 Address: 7018 Ivy Ave.
Father's Name: Joseph
Mother's Maiden Name: Mary (Sadivy? hard to read)
Marriage to be solemnized by F. E. Hanousek JP
The bottom portion of the certificate is cut off. That part has the certification from the person marrying the couple.
If you'd like a copy I'd be happy to scan and e-mail it to you.
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