Marriage Certificate - Davis, Myra Mauck_2/19/19871�`2
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�}1pllCdh0ll l5 %ercbp ntaDc for a�i�en5e for t(�e �larriagc of �
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V � UPOY Tp� PoLONL\G 6TATFJ�EYT-0� I�CC9 8EWi1Vt Tl 8A0 P�pTI�:
3fALE ��
FEMALE
1. 1'he Scll chriatiao and �ssrname af the man
2
3. R2ere hom
�. R'hen born
6. Prexn: reaidevice _�� C.�� yx_, _�y_zV __
1
6. Presen: occupntion .._.___ �_ �v �E _
�. lt m occupation, whet mea+is Iw tlie male mntrneting party [o aupport
:. ls :he male matmcting part�� of nearer blood iin to the feoale con[ractiny
pnrtY than �e:ond eouain !""__'"'"_.........._....�..:.i _N."__"_"_'.....""_
S. Fyi chr'a:iaa md suma�e et;athxr ___~ �1 �"� ��,,,_� -�_
1 � � �
- --:7' '-�C.-1=--9 -- 10. Hia color �i_;_A *^�
11. H"v bir:SV:aca
L". Aia oeeupntiav
13. Hu reaidenn ..
14. Fc,ll chrutian und mniden name o[ motbei _._
_J �:�9. tn��-?-�° _
16. He /m!or_� yt[.L�'.� 36. Aer oeeuyation
l. 1'he fdl cbris[Ln md evmamo. �f �1�. vom.r i.
S. Nheze bor�
�. W6m bom
6. Prneat rpi
G Resent occt
T. FdI chrutian avd acrnnme of fa:her L��A� -�
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__� 11 .r, y,��.�% __..__._ 8. Au eolor Lv.:.� 1_=�,,,�..
9. Hu bizt plaee _ � i1i�.+_�.� ,t i+.���: ..' {I _;
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10. Hu occuyatian __�
_�[�y.t_ Il. Hisrcaidenro__...""___�,,.�..,�.,_„_1''_"'
/ ` I2. F�ll chri�[ian anC maidea vame of mother =�/
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I1�. '�/t ,..Lt' ` _" _ 13. Her �or' /�^'' T
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�- i�. Aer acupntioa �j!',L„ n ,� ,ai9 . i"_ _ _ _ .
37.. Aer6i-thDl¢ce...._..__'..,,.!�.L�`_.2Q..cSr.��.��-1p.��1..,'�/,.�.�i.A,.,t.:�2j�_
18. H<r residence _.__ / �Y.�_�i.3�..�n..y.r.(...d.L_T_Y�1e..'%�-•-
15. Haz chc male mn•sacting parq� beenuen mmate of any munty m��lum m
hame Sor indi¢en[ perwns within the laet Rre yearo ?__.._:1...:..J.i-_
20. [f so, ia ho now ablc to euppoR a family and likcly m eo continue T.__.._.
21. [� thu hu 9nt marrin� � If not how often hu he becn martid t_.
.3. Hna avc6 prior maniag .�arrio¢n. beev diaaolv¢d ?.--___"_
YC. 1! so. Cow!"__..__.____ 2i. R'hev' "'__-""__
'G. ls aho male mnvnctin: {ur.y e�ieud with epilep.vy, wberculuey renereal,
or eny othcr rontegioua or [rmsmisaible Ciseaee !.___!Lr.Lr.�._
?4. Ia he aa imbecile, fceble-minded idio[ic or insane, or ia he under guardimship
u a peesan o: unaovnd micd ?____ � � /�' ^^1 _1_
SiYnatcro af appliear.t���yf.L/_��-.�N�L(..•,p,..!^Q
STATc OF I]UTASA, GIBSOS COIJXfY, JS: �
aM
eape thaL ................._...._hnx perwnni knowled6� ot che facta above
they and encF. uf them ere truc ._ __ _,
SubseribN ar:d en�orn
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ST?.TE OF INDIAN�y G16SON COUNTY.
Her birt6➢laro
18. Her reaiCrnce _-__�,.[_„r.��y„y/J�/"L�%CC� ✓(.t �
17. Hae tho temale eontnc[inc Dnzty becv"nn iemiW ot nny couvty uylum
or home for indigent penons witiiin the Inet 8va yeua !._�,� �l •
1& L ihia her 8nt marsia�a !..._ �
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19. If vot, how of4n Laa ahe beeu morried' ._.__.._
:0. Nac wch prior marria¢a, or marriara, been divolved T
21. lt w. hoa und when !_'__'_'"_"_"-__-- --__
Is the [emale contracting pnrty a(Oic[ad witL epilepay, Nberculwia, vmereal
or nny other <oa•sriow or tnmmissibla d'uesu !_���.�_
Is ehe an imbecile, teeble-minded, idioticor insane, or is ehe under gunrdianahip
u a penon ot unsound miud ' � .� �i 1�
Si¢nvtaro af aDPlicnnt �n \ � � n `�C�
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B OF IRDIA�A, GIBSOY COU\Tl', S5: -
.._"""'"_..._'__' _-_"'_.._.._____'._..."""_'-""_. Ee W ee+ end
that......_._.......-_ha.� ocraonal knowledge of [he fncta a Wve stated and that
and each o( tbem are vue.� _ _ __ i
and swom [o,bfrfore me,
l3E IT RE3IE�IREREU. 7'hat on anw._.-_........L.-.{---......_....�y
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of ................................._�- -��1:.:-'Z%..._lAat.S. the foiloming
:llarriage Licnue tena i aued, fo �eil:
�To all e�ho shall see these presents, Creeting:
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� �/i:F071" }'F.'� TML any perao� rn�powered�-�Ly�luin to eolemnize .Varriagw ie herel� authorired to j in [age[hcr ae IluaLand and }Vife
� ........��Y..•t�✓'-i..F...-C.."".... .'_�_..'_...ti7�.✓�'.N �.......... and...._.�%�M%YL.�.."' ' "'_� '��.�.°..`c�b..-�l "'_and Jor ao
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_. � doing iLls aha11 Le au/%icicn! av i�ori[y. ,� / I �/ l
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� /:1' TL•'STl:VO:Py 11'/IF.'l:GOb'� /�.... .�LG:�1.IL.. .....i�A.'!!.�..� C4rt o/ (Im CiGwn Circuit
3 Court, hereunto aubacriLe my ranu and a/%ix tht am1 oj aaid Courl. lh.i.._...._'_-7L ..l ___'_"___
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�I d¢y o%"'__"""' Ti�-L:...i.G<:.._..._...ID.. `1.�7 _
'{ � y I:E /T F'GP.T716'R /.'E:VE:VUF.l:F,U, That on Lhis.........:�i�._�?.......day oj
� �� maa pled in my o/jice� !a mi1:
_ .. � STATE OF INDIANA, GIBSON COUNTY.
' '� TII/S CEIiTYF'!F.'S� Tlu+t ! joined in marru�ge as IluaLand und 11'ife .-
: . ' uml_✓�. -�.�V�.,:./..`Li!:1..._.._�...._.._��..�.! .`./�iL...� on lhe .............�
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!he folloming ccrtificale
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