Marriage Certificate - Blackburn, Melissa R_11/8/199818 • •
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COMPIETE IF YARRIAGE LICENSE ISSUED BY ORDER OF COURT. A marriage license �eving Ceen refuseC to Ihe a0ove nemeC parties, t�s
Counry Coun. by written omer issuea
en01ile0 in , eui�orizes en0 dirocts l�a Iuuence oi e marriege license to t�e aGOVe nemeG parties.
RETURN OF MARRIAGE LICENSE AND EfARRIAGE CERTIFICATE
/ certify thet fhe was filed in my of5ce e mamage lirenae isaued (he Clerk of t6e Circuit Court of Gi6s�on County, Indiane,
datcd , euthorizinq the marrieg� of� �� • ���V"'—"' end
'� e � � �T
I fu,r,th/e�r�ce�rtJy��/y ett(7/� lloxwg marriege ttruScate wee 51ed in u1y o e:
1. (�][ifddsd `�!� (nem certifY [hat on /7 i�(dete)� et � in
�'S' �mM1� County, Indiane, of ,fj_��� Comty,
(atate), and of � County,
-�a (e7ate) wen married 6 me ea a orized under a mamage lirense thet was iasued 6y the Clerk of tha
Circuit Covrt o{" �Gi6e�on CountY� hn ted /� / q��
Signed 6y: �A%{�5� � iA..1Grv�W , (otficiel designa6onq)p
FS/ed end mrorded in attrordence with the lawa of the Sta[e of Indi�ena on � 9`a (date).
Sianed � �` • � Cluk