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Marriage Certificate - Creech, Patricia M_5/7/2001rei.� n�e.0 e. w.,. s.�. wn a �.m. �.�a.1 �wenr arcm-r.o � STATE OF INDIANA � APPLICATION FOR MAHRIAGE LICENSE GIBSON IC31-7-9-1. Fumlthinqfaltelnformetionuponepplylnpforllcenfe. A person w�o knowingty lurnie�es lalse intormation to a clerk ol tha circuit coun when I�eperson applies lor a marriage license under IC 31-7-3 commits a Class D feiony. MALE APP�ICANT wm. O�bolBipp MpnN w.0 a e�roisuw «�a.:,� u YnnWf M�nl�l SI�IY)'. N�m M�nlfp O O(1 NO.OI Vln�w] M��nlOp + LutM�m�p� EnCW Bv- MM ❑ Orvnn � 1v��Im�n1 ❑ p�M1\�. i� r_,91� a�. w euu..�r« or: e e�ne c.mrcn. �C(an., �so«im � f i �i� 1. AI�YWnO�OI��r�yOYn�rMen�ON49bIDM0lunawn<muiUl Nol� Yef❑ ,,.�,..,,,-..,.-...�..a�K.�,>..�,.mo.�, �o:—//...o }. 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G•�� a� Coun mu Rrt.mim�.� 1 -.,m��rm�mim.�mo,.uiwno�.m Cqunry ol GlEam 1 �' ,,�J 'n �� ��O�cauon n vu� ma corrrc�. \ S9nea �Et�R� /A10C� N!� AOE![ff /� � q�� Sueacnqo �w �.prn ia oe�ar m�yn�� e�Y ol J.L1C1{�_ t9L ���.' �� !�� L4n ol N� GiDwn Cl2uit faurt CONSENi OF P�RENiS. PAFENl, OP GW RDUN W�. N� O�t�nb 01 Nu �OO��n4 MnpY 0'n Confml lb tlti� marryye.11 enlY � O�nN �qm. �YI� I�CIf �N[M1 mikp �M [OnMnl OI N� pN�i W�Ml umK�iMry Sw� a iro�+n+ � fanM1 el � a FMa ID • wom�• iD • SuM[n WO uW ��om lo Mlw� m� Ws _ paY al IY_ C4M1 No. Fila couNTr s-.o -y9 Dete ol ADD���E��on Female Applicant 50> No ❑ Yes ❑ If No, MeOical Examination or Report DateC Name ol Physician N�m� o.�. o� e�nn n.c. oi evQ APVLICANT �em Y�rti�C O OP Ho. M Nwbu Y D��m ❑ d.ww � Mnwmm� ❑ W�e O1 dM r���lieC Ey: �i BvT C�NIKIIV O ONO� (5„al�) _ `�� �. �`�� Yov now n l4n YW � a�n �OI�Gb to W ol vnf0un0 m4qi NO Y YY ❑ u�m..r h"rsa: w ur uiw�uiion wm rw.o..a? r+o � ra O }. N! yau ��YIe010 Ne m�N �pqK�n� Wan pyn Yfpb [qpini NO � Yb ❑ l. ��e you row vnCw m� inlN�nca ai �n �ICdqllc MnrNri !Ie D�/` Yn C �. '��� YW M� uMet IM �infMn[� W� w[pYC Oeup? NO P Yp O S. LitINeIVOMmyOI�nyY�pan�M([�YEIM. 149 6. Iq Fuo mme el �ppGC�nY� I�Nn '` . _y. { ' III�OOpIW.bl�CeptinPUmbONy� � flnNm[e W IaNn IilO�ceuM. �o �Obl einnp4cr o� 1�tMr IAtl� w la�ian coun4y) �ol Fv11m�iWnwneol�pp4[anY�mONV •w1' / . I�I�aoW�a.in��W4nG�r�nt�OM'1 , ��+:m��� RHiEMC� OI iMN�I I�1 C�CYiM.lY �Y��) &nnp�c� m mowr ISUi� w�a�pn couno-y) '1� �ul �+�-�17 � �LNNOWLEDG4ENi I acLno�rlvapr Inp 1 n�r1 rtt�irM iniwmetan rparpiip parpMWf Cpmmuni�W Obvfla Nal ��� NaulIIY ����am�tle'J. �M l l�il OI �M I�f1410Ip VN rVYf W� L�YHf AID$ (Kpu11M S�qiu�are ol enda�n� L�sfJlT/!iO- c�lG`ZLP Dtl� Tne �GE�e aDVl�cant na� eCh[iM lo M�IYi� py e�N al �t1um�INn or aqn��ul� b EM �WN tClnO+'IS00men� G[)YY OI IIYpiWf MINM1. c�m e� co�n w�. SI�.IOIIItlI�M ) I��M//�X�mN�IVM�n1YT�:MO�An Counry o� Ginwn �/y�� 1�' �in w� �e�Wution �u vw w cwntt 5,ama v �L�.r i� i _ `�GtL! N�� 1W/�U (�p Su'vs[ryMG M �vOm�b Mlq. rry Nu�� �uY el � t9lJ .Y )� •-/ � a U%QL.i a.n o� u» fiiwon c�eew� Cartn CONSENT OF >APENTS, VAqENT. OH GUAfl01�N wr. N� yrentl ol Wa �pqif nl nn�Ey Oir� ronuni la Wa nupu9e.11 prYy pm wml ai�n�, �1�1� 1�[h v�K� mi�� IM [4nNN OI NI OM01 p�RT YM�[!W ly S�monnci�n� � Ca+mY ol � v. ���� ID � MoNU 10 � SvoacnWa�na�womtoM�onmeNn_mrol t9_ � COMPIETE IF MAXNIACE LICENSE ISSUED BY ORDER OF COIIRT. A marriaga license naving Oeen reluseE Io tne aEOVe nemea panie�, t�e Counry Coun. Dy written oraer issue0 enE IileU in aut�orizas ana eirecte Ne inuance oi e marriage license to lna a0ova namea panies. RETURN OF �1fARR[AGE LICENSE AND MARRIAGE CERTIF7CATE I rerdi tha[ lhere wes filed in my office a marriege license issued 6y the Clerk of /LJhe GSreuil Caurt of Gi6son County, fndinna, deted � `t , euthonzing the marnege of �¢�� (� il/�� end � �.t — � ) %%2 �.A2� . f- f��u/rj' h'`er/c'e/{�6pfyQ�th�e�t t�h�e fol n mame e certificate was filed in m of e: /�"" '^��'✓� �-��L g (neme, certity t at o 9 (date), at �� in Countg Indiene. ' of County, �' (state), and � of � �unty, (ata[e) were married by me es authonzed under a meaiaBe (irense that was isyued 6y the Clert of [he Circuit Court Ci6son County, Indie , dated r7 . � Signed 6y , /j�/ (official �designetion) FTled end mrordcd in attrordmce with �the lewt of lhe Stele of Indiane on .�q,�,.��� (da[e). � /� . Aim�+l �Q/ / /`I.A / r