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ra\1-' / ABPLICATION FOR MARRIAGE LICENSE Fae
��� v GIBSON
IC71-7-9-1. FurN�hlnQlel��InlarmallonuponepD�Ylnqlarllcense.
A Oerson w�o knowingly lurnishes falsa inlormaiion lo a clerk ol l�e
circuii coutl w�en t�e perwn ap0��e5 br a marriage license unEer IC
314-7 tommits a Class O Ieiony.
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COUNTY �3-9,
' DeteolApplicetion
FemaleApplitanl50>NO Yes ❑ �-��
. If No. Medical Examination o epon DateO
Name ol P�ysician
MALE APPLICANT ' FEMALE APVLICANT
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i ISSUEU BT OflDEN OF COUPT. A marriage liceme IwNng Eeen reluse0 ta t�e eGOVa nameC w��ies. me
Coumy Cour�, Ey wriuen oraer issuea
� aut�ori[es arb Eirttb Na issuance ai a merruqe license to I�e aEOVe name0 Danies.
REfUR� OF DSdRH1ACE LICENSE ANU :1fARR1AGE CERTIFICATE
I certify het lhen u�as filed in my offitt a memage lirease irxved y!h Clerk,af the Circuif Court o! GiAsm County; Indiene,
) , ivi iF� C�6,� Y md
dated .LYY_, auth�siqg Ne mernepe ot
��C% X/��
�nI Porth r certlfy at t f orving ma+riage certificefe wat filed in �y om
(nam . re ifY that n�, /i /97S �dete). et in
County, Indiene, ot !� Count};
_�YLw/� (s(ate), md of �j � .� County,
C�Q---• (afele) were memed by e an Nonzed under e merriege Iirense [he[ �ras issued by !he Clerk af Ihe
Circuil Cavrt/ af/GiS<on Co ly, d'enq dafed �3 �
Signed by: W��• �� , (o7eiel designefio�)
Filed and mnrded in ettrordance wilh fhe lew's a Ihe S(ete of Indiana on i a-- i s'- y f (dn[e).