ViewMate Translation Request - Polish #galicia

Alan Seid

I would really appreciate a word for word Polish to English translation.
The image is part of a birth record for Jacob Haas born 8 Dec 1902 in

I've posted the image on ViewMate at the following address
Please respond via the form provided in the ViewMate application

I am looking for a translation of the Polish text across columns 10, 11
and 12. I see the year 1921 and Leib Hass (father of Jacob). I do not
understand why the year 1921 is written on a 1902 birth record.

Thank you


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