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SiATE OF INUTANA No.
APPLICATION FOR MARRIAGE LICENSE F+�a
GIBSON COUNTY '�^q �4
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1LKNOW�EDGMENT
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COMPIETE IF MAPNIAGE LICENSE ISSUED BY ORDER OF COURT. A marriage license �aving Geen refused to tne aDOVe named parties, Ilie
Counry Court, by written orEer issueE
anG tileC in aut�orizes anG Giretts Ne issuance ot a marriage license (o Ine aEOVe nemea parties.
RETURN OF MARRIAGE LICENSE AA'D MARRIAGE CERT[FICATE
1 rertify that there wes fi(ed in my affice a marriage license issued 6y the Clerk' nof the Cinuit Cour[ of Gi6son County, (ndiana,
Idated �iy�•�..*; C{ q9� , authonzing the memage of ��N'� \ 1 �$�]LL\ and
�� '94.�L� �.)
I further rertify that lh tollowing marriage certibra[e was filed in my office: 'I �-(-
!, �1��lo�1� ���l W� neme), certify thet _���,�L (dete), et t-Tf • R�� in
-�Y�-%�n � Counly, fndi�an+a,,� ���� � - �vAm of�� County,
�}�IA,Mn (state).mdS�1�v.�..� `(� cldM� of .�k�fi\�»._. Caunty,
-�"f1i0AAMfi (ste[e) were mamed 6y me es authorized under a merriage license Ihet wes iuued 6y Ihe Clerk of Ihe
Circuit Caur�t/ �of Gi6son Counfy, yln�diana, dated _ ,,, �����
Signed 6y. �1�LL4/h K �A�i�U.4 •' _ , (o u'f�, elNdes,gnetion)
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Filed and recnrded in accordence with the lews of the Stete of Indiana on ,(��1l1.��,� �_(date). -
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