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Marriage Certificate - Bertram, Bonnie Lee_12/30/1985• � .o.��..u„�„ �.mm. suu eo.m m SfATE OF I\DIAtiA �a �..���•�•�����" APpLICATION FOR MARRIAGE LICENSE d ����,.,.. ..� ..mi��.�m tVe �" Gibson County ��-^- -• 7, l9PS t<o1APPlicu ion� MALE FE\fALE \fedicel Exflmination Report Dated�p ?� -�- S S \fedical Ezamination Report Dated g-�- gs � Nflme af Physicien l b:a • Yame ot Physician ALLOIIESTIOVSMOST9EANSN'EHEO. C]LId�OO�ertnCeC'F�I�embmem-Wpoevarp�ocuro�tEele�u�nceol�Gnu�abmvryEy�pyplwmtemm�,nprerovWbner preteow �e.11 M LneE �.nY � m oo .aceeA�oetivenuvaneaoll.rsl��l". \fALE APPLICArT Pnvlou� M�nl�l Sutua: N�ver Mvrle!'.✓ OR LutM�rrl�geEnEeEBy: DeupO Dlvome❑ Annulmen�❑ FEMALE APPLICA\T Pnvlou� M�tlt�ISUwc Nrver N�n1eE❑ OR L�n Mutl�qe EnEeE By: 0.�W ❑ Ulvorce ✓Anvulment O D�b Ol CIM1e venOeE Oy: 0 BIrtEf G�rt^,O_1uEicul Dx�r�ee/p� � D�b OI EIM1e venlleE Ey: ❑ BI(rt�L Gn. ❑ JYCICIJ �xme ❑ONrtfSV^c11Y1_.. ._.__6�%/WL'�'�'�a� lJCn-�C: . . ❑OtL��ISWC�fY) 0��/t.lM..'�s.._�_._.__. . _ 1. Are yeu er E�ve yeu e• Ewp 1. Art you or �we you r Eeev �J�uCgwt b G of wwuoE mloG? `]o � Ye� ❑ WIuGgM b Ce af umounE mlvC? No `V Yo ❑ If �v��er 1�'ye� : �u t�e �C)u0lc�tlon Gean rtmoveE? Iio p� Ye� ❑ �� `����� �� �Ye� , py t0e Wjudieulov Oeen rtmovepT No C' Ye� O i. Am You �Q�i[W �tE � tr�nemi�nple E�wue? tie p. YetO Z. Aro Yeu �ftlie4E �ItE � tnn�mlulEle UbawT Na fy Ym p ]. An You rt1�bE b Ne fem�le �pp�lt�nt 9. AroY� nbbE b l�e mq� �pPllemt cb�er tEm wwnC wuvv? Ye O' Ye� ❑ ��a�« <��o �erooO eoueluR No C' Yn p �. Are you no� mCar t4e Inllueoce af Ivbaluting Ilquor9 Ne b Ve� ❑ �� An you now unEer t�e Inpuvvice allnbi1c41ng Ilqoort Na pi Ye� O S. Aro yaa mw uvGer W e In(luence o! � o�rca4c Gmg! Fo C�/ Ye� O S� A�e you no� unCm t4e InPUaxe et � o�rw�ic E`vg! Fo 0� Ye� ❑ e. t.�n w. mu o.m« o� .ny aep��a.o� mueron. e. w. m. mu o.m.. or.oy a. m.o� mne..o. �/p '—_____._.__._. _�-.._��✓cs�C�C��___'___ --��--r-�ee-- ---------____— r..e.�.�L_..-- �—�~�-�-- �. nre you reamr.a ey.ny m�n omer or awen v. w.e yw r.quvea ey.oy m�n o�eer ar om.r. .o.uvoanm..m.�.e�x�e�m�e�m.ao, �oc�ve.❑ w.�caonm�.eo�eaewneso��eae..�v rvoo�re.❑ v.o..�. �. ye. :�� �..w��..e u,.� w�a evo��c.ueo w.eeemv.=��e er u.nve. �.'re: .�� �s rwm.ea ie.� m�. wvouuuoo ne.somw=�=e ey utiatacmry Drool tEU You ve iv comPGma �f W mY Poun orEm or orEm ��yat�cbry Proof t�u Yau �m In wmpli�cm �YW �n) wan oftler or ortlen ie.usa m. mev .uown. �..,,,e mr m.v.�own. ��y/////� ��� iz 9. Vull n�ma of (uGer .'JCQ/l.P^y_�-1 _ _ __ 0� / Re�IEevc<o( ht�er (if Ott'a�aeE w aVb) _ . �./.....�.. �. .�r^��_�.._.. BlrNpl�ce o1 f.Nrr ISUte or tare�gv rnunvr) �/.Lit`oLC1t _ll!�a��. U Y. Pull muCrn o�me al mut�er �_� ._. 1 Re�IEevice af mot�er (�10eceuM b n�bf /�� � _._�...... BIR�O��� of vnt�e� (St��e or fa�siQV muptry) �-�V_"�/�ty (/ Stuetllml�y �G e�MnneWehu'm�uonMven ce�ur � j • �" � wou�u�,� sie�. � tiv AdErn� p� Sul.crpd�w'��arry{oEelo�emSN�E�y 19_.].�]_ oLYQIt a�,� � a... ee w c�me ci.m�e c�n CON6EYf OP PARC:�"B, PAREYI OP Gl1ARUlAY M'w We O�rw. dNb yplkant hn�iY [n'em�uen b� tEb m�rN[a 11 adY ane p�rern tlry. �YU f�u NAN reMV W� mnmt d 0� qLa prtmt u�u¢m�ry 9uu W Ivdl+v, 9W krt��d �M..om r.. eMUi..... 4 •• e. wu o.�. ar t.mer _aCA.I.—l�s=`�d.�-e-,ai— / awe�eence or r.m.r pt ex...ee .n nue) ____ ��y���pC._pp��_ �� 9�nEpl�c� oI l4Nr (St�d er forclgp couptry) .�Sl.u! t�-�O._� 8. Full muCeo n�me ef muIDe� _� ��'''��� ��I Ro�Eence of motpe� (if Eepued w�t�b) _ �fJ � ./// ' Bm�pl�ce ol motpe� (SUte a� fortl¢n wuntrypL.Q��U�s+�CJ__� Sutea(IeM1I�� 1 IdNo e �tl�uteWelNOnn�Wngl� CeuotYe[ ���: In Wb V0�� tbv 1� � M m s�.�.a ae-,_, ,�Z.e_ waoOO u.. nae.e. Su0¢w.d�MewmbEdoremeN�e � eq I9� co-.i .� in. ae.00 a�i. �s CONSF.p'T OF PARENIS. PAftE9t OR GUAR�ITB Wt de pueNa. dNb �pplluv perrbY I[b'e mmeN br Nb m�rrl�6n If WY ene pttem �kN. �Yte I�m �MN reMn �L� mment d Me oNer p�rmt aroam�ry s..�.�,b�.�. , ����>o� f... _F�Nee Slyn 1 _NOt6e� SIR�e1 IS_ I Juu.��fard�b�vaenNLtla�emeNU_ _ CIeM1 _l9_ �eeY COMPLETE IF MARRIAGE LICENSE ISSUP.0 BY OR�ER OF COURT. A merrloge liceneehevingbeen refuaed W the above named per4ex Ne �^�^�Y Court Cy vritten aNer issued eM fJed �� euNorfz� and dtrttte the Inevarce af e mertleRe �icenee [o Ne ebove numed pertim. RFTURN OF MARRIAGE LICF.NSti A;1'D AfARRIACE CERTIFICATF. BE IT REd1ESfBERED, (herne wu f�ed in my oJjice a ' ge licenu ivued by the Clerk o) the Gibmn Circmt Court o/ Ci6son Counry, lndiaw, dated lhe � ���./� nay a/ ma� (�I�.f1 e .'�" I9� au�horizi� Neioivr�qtognhe� m hu�6andaid mi/e Be ii /wtho remonberaf, tne/o(bmi� marnagr crni/�carc�waa Ji6d in my o//rt tomie: n ( % h�t��,(Ym t. �'� �j�� �rrepr ceni/v �hot an tne fX � 9� .�Qy-o/J�� �<<no�.a,�eH.,�n��e.�o,d �'S ,.� Ff . pY�, �n�c 0. ww�� o� Suu o/ I.dia.p G � 1L ^ ♦ ^� � �`�-�i i�-� pounry. Smte o/-==� an4 HriE� Y�lliY�.. .¢ n,oy, Q�.no \� „i .`L'1 iQi-hA-n . Cou�vy. Stateo/ � mert by me uniled in maniage m authoriieC 6y a maniage ficrnu iuued /or lhol purpoa by lha Clerk o/ the Gib�on Cirouit Court o/ GiWon Counry. Dued Ni� ? l �� Aay o/ I-'' ( l.ny �_n�� 19 '�J S(Bnad 1 ���'�1.d.e1 .L�1 . w�t�� � d O//iciaf Daipmtian — r j�1�N`i a l�.Ln / illed anE rmrdad in acroNarce ui�h �hr (a�n� o/ Ne State o/ /ndiaw ihi� c� %�V�, �/ AaY o/a �� /9 `�5 S(qnei ��°.�n N � .-J .� C(enF .�,� u Ciiruit Ca.rt