32 Record of Issue of License to Marry z i District of -——— _ : a County of- License Issued by. EER Date of License. we I WA =r Yar ae : ; is ~ e3 — \ Full Name of Male. Color or Race.. Birthplace of wy Full Name of Father. —- Full Maiden Name of Mother Race JAPANEBEN _Racg____JPANESE. Birthplace of Father (i. ise !__Birthplace-of Mother. { Full Ne Female SSNS SN lame of Fen SKng Koc aor AW as Residence. State or r. {Goamuy Color or Race ‘(Sirect and Number) Ringth of Residence in ork of 25 AY Full Maiden Name of Motiermsien,_"\Nunshivn Race JAPANESE, TABI "AN _ Birthplace of ie (at es 4 ns SNe Nd qumaa Name of Husband if Birthplace of Fo Pull Name of Fathi Race Birthplace of Father {sis,2" }__\ Full Names of Witnesses to Ceremony. Place of Marriage. Ceremony to be Performed by This is to certify that I, ————— ai the Lawful of = : ‘nother or father) born at —______. of. a Copy sent to Registrar of Marriages this