Marriage Certificate - Bullock, Robert D_6/12/2009134 STATE OF INDIANA
� APPLIC�N FOR MARRIAGE LICENSE N�.—
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���.", GIBSON COUNTY
'�„.�.� Date
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urcvit court wnan Ine person applies tor a marnaga license unaer IC �� No, Medical EXdminalion Or Report Dated
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COMPLETE IF MARRIAGE LICENSE i55UED BY ORDER OF COURT. A marziage ticense taNng Deen reNSed to the above nametl parties. Ne
County Court, by wnnen oNer issue0
antl fileC in , auNOnzes and Cirecis Ihe issuance of a mertiage Gcense to the aEove nameC parties.
RETLR\ OF �tARR1AGE LICH\SE A:�D \IARRIAGE CERTIFICATE
/ cerri • thar there was fi(ed m mr offrre a mamaee lirense issue _� the Clerk a( he C� uir Coutt ojGi san Counnt /ndiana,
dated_ �b �00� . apthon:ing rhe marrla¢e of 4 and
/
was filed in m��
v i
—(smte) were married r me as
CircvitCo r G� on o m•. �diana.d red
Signed bv: . �
Fi(ed and remrded in attordanre wnh rAe (oHS af the Smte
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o�ce
on � 00� (date or N`^«�� in
o Counn�.
of=M�� Counn:
under a marriage lirensr rhor w�as issued bti• the CIerA ojthe
a�, �-.. c
� (o�aia! designa+IOnJ
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Signed � ��_`""'�"�- � ^ � �' Clrrk
Gibsan Cirtuit Court
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