Marriage Certificate - Deffendall, Paula Ann_8/6/2012�,:�, Indiana State
�C,� ,� artment of Health
RECORD OF MARRIAGE
VANUERBURGH
INSERT NAME OF COUNTY
GROOM
Name (Print in Full)
GOEDDE JAMES VINCENT
Iast First MiAAIe
Residence (Address) GIBSON
305 W HAUBSTADT County
City or Tou•n ��STADT State INDIANA
Is Residence Inside City Limits? Is Residence on a Farm?
Yes ❑ X tio ❑ 1'es ❑ Yo ❑ X
UsualOccupation EQUZPMENT OPERATOR
Education (5pecify Highest Grade Completed) 12
Father's Name yINCENT A GOEDDt �rth Place INDIANA
1So[her's Name NIARY AGNES GOEDI&lrth Place INDIAI7A
�
Name (Legai Name Before This Martiage—Print in Full)
DEFFENDALL PAULA
i Firsl
Residence (Address) �
County }�anmccn
2613 HILLCREST TERR
City or Town x,��n* Slate n
Is Residence Inside City Limits? Is Residence on a Farm?
Yes ❑ r. No ❑ 1'es ❑ No ❑ g
lisual Occupation
Education (Specifp Highest Grade Completed)
}a
Father's Ivame Birth Place
hiother's Name Y`ENt1ETH P RUEGERSirth Place INDIANa
CAROL ANN HAPE INDIAFIA
This Aoolication (or License Expires on _
COUNTY
RACE
White ❑ ABlack ❑ Am.lndian ❑
Other ❑ (Speci(y1
Age ot Groom Place o[ Birth
(State or Foreign Country)
38 ZNDZANA
PREVIOUS MARITAL STATUS
Never htarried ❑
LAST MARRIAGE EtiDED BY:
Death ❑ Annulmem ❑
Total Number o( Pre�•ious
Divorce � XDfarriages ��
Date Lasl �tarriage Ended � Q4�
RACE
N'hite ❑ X. Black ❑ Am: Indian ❑
Other ❑ (Specify)
Age o( Bride Place o[ Birth
(State or Foreign Countrp)
PREVIOUS MARITAL STATUS
Never rlarried ❑
LAST b1ARRIAGE E\DED Bl':
Death ❑ Annulment ❑
- Total Number of Pre�•ious
Divorce �! XDtarriages ��
Date Last Marriage Ended 1997
AIDS Education Acknowiedgement Signed Religious Objection Signed
CLERK OF COURT: Detach Record of i�7arriage and fonrard same at close of each c�lendar month to Indiana
State Department of Health, Vital Statis�ics, Section B 4, 2 Norih pieridian S�reeL P.O. 60� G016. Indiannpolic. Indiana
a6206-8iI5.
Date of RecorJing Book 262 Page 219
Signed MP.RSHA ABELL Clcrk of VI�NDERBURGH Circui� Court �
Inserc Name oE Councy
SDH06�025�32 I.C. 314 �9� l6 �
�1ARRIAG_/POL UE\' 1
State form 2i553 (R4/7-971