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Marriage Certificate - Kennard, Katherine_3/27/2003ro-. n.owa e� u.a.e. v.0 ee.�a w �..�,�...�,„ a c v-ra STATE OF INDIANA •PPLICATION FOR MARRIAGE L�SE GIBSON COUNTY IC71-7-9-1. FumltAlnqlalselnformationuponapplyinglorlicense. A penon w�o knowingly lurnis�es false information to e clerk ot Ihe tirCUit tourt when t�a Oenon applies for a marriage license under IC 31-7-3 commits e Class 0 fetony. MALE APPIICANT o.0 a� wm uM�N o.y reu 1- 4--.C'l 4l Rwdeirtnlm� .pncauiWl� �LAI Xeb�s� MC�/u . w n R.R. �+ty /� Ca+ Sut� ir`l-W .lu ih. �� .l_..�I�1�1(�a�.� %�.St..-�T._ P�pyufMmltl$bluc NM�M�rtiW�OF NO.01P�bqufM�rtuon Lu�u�mp�E�a�aBY Dum❑ d.orc�� smNmm�❑ One Dmoiwfnnnc�eer: ❑BinnG�uibad�0inarlSpaiM1 �'u �.-n A.e � C A. t. A�� you m+a n�r� you nrr e�en �ery09b �o Oe ol �nfwiW min0> No"J rn ❑ II �nawr in }�s: n�a N� �CryCic�.iOn DMn ��movp+ No ❑ Yn ❑ i. My011f�1�IMIOIMI�m�l��ppK�nICNlfNI�M[MECIXtfNf NQ�] YyO 1. /.n you rq� uMe� IM inMtM! 01 �n �kendi[ Ee�'�00�� NCO Yn O �. M yW M� vMO� NI NIN��KI01 � MeCO�i[ ON9� Np .] Yry ❑ 5. Li�� py ty0 Nmn OI �ny E[pmO[nl CNIGron. e. blFWmmrol�ppY[tnl'�IaNer \ ,C (11 �CppIN. tisl �Eap4n Pvm�f ONyI bJ� ' Pwp�M� e141h V 01 C�cuwG. fp �I�b���_�_ BiMp11<�OIIa11i�rI5��1�wlw�qnfWnlryl �'� �p) i�A T�qln Mm� 011pyc�nl'f mo���r (11 �EppIM.4at 1Gpp4p p�nnta Onyl RnE�M� el mM�OId O�c�av0. W�Yb� ` Bvinp4n01m0�MlISt�IIW/OM1qncwntry� ���N ' �CI(NOWLEDGMENi I�cltWnlWO� Intl I M�y �K�rvM inlorm�Ipn rpuEinq a�n9erm� COmm�ni[�ele OiMtm IMlmfuvnyv�mmillM.ub�ti�tolN�bsbilnleilnl.irva ��IGU>es�IDSUMUirta �mmun O�L[i�tKy fY��a/^�j� 2� $pn�Nn M �pp4Un1 L�,n. ��� D� v��1���! rn..eo...00tic�m nu oeiaiw io nnhmv nr o.m o, .ir,m.�m m.qivwn ie m•.eo.. �e�tn�IM9M�1 Meauu al e�lpioua M4�la. Cbn d Can One Sn��aivaivu 1 �avui�ni�mm�ummro�mu�ona�.m Covmv W Giwm 1�' in �n�a �ovdc�tion n we �iw comc�. �,�� = H.. eoa�au s.etrmaim�.�piawpn(�ma aarai Clsrt 01 VM GIEam GrM� Covt LONSENT OF F�RENTS, G/.NENT, ON GU�F01/.N WL N� Wnnb al WuppYC�nl MnEy 0^'� <Omenl ler �tti� m�nv9e.11 oNy me p�nnl �qm. ��III l�Gtf �1ti[1f m�Ye It�e CMfM� d PA ONH W ren� unnK�sYry $I�I�OIImlulu I Caunh W � ��. i�1Mr ID • MW�w ID• SulKnUM �M ��pn lo Wla� me Vaa _ Gry ol f9_ COM7LETE IF anG fileE in_ G�n Na. File ) - �- ,-aT� � Date ol Application Female Applicant 50> No � YeiO 5 y� Ii No. Medical Examination r Report Dated Name ot Physician - FENALE APPLICANT (SOIe w Pierbut Mantal5��lu�: N�vn MarelsE� OR No. W Vrrriwf Martlpn _ laa�r.4rzu9�EmeaBY �C+O d.wc� ❑ �m�umm O Oau Dale ol dtl� r�nlyE Dy: O BiM G�lilKAU �(Spcl�y) 1 l �l.�d �. �ra yw mv w iun you mr eam wjuaqee io e� d unawne mi'pt !yp vp O 11 �n�Mar if yn: �u Ne �cryCiu�pn Dsen mmpaE} No ❑ Yo O 3. ��> y0u �N�IeE b IM �uM �Mli[�nl clo�x Wn ��W [pufNi No�9 Yp O J. Are yw �ww uMN W nlMn[� ol �n �k WwYC Mr���q<i \Nob Yp ❑ �. �re Ya �+" uMer Vy NfNmce oI � n��cotic ONqi NO�O Yn 0 5. Lu� mUUY n�mea W�nY dep�mm� Utibrca 6. 1�1 Fulln�meol�pp4CanbhL%r \ J (II�OCP�W.YSIbW(ehtmbONy� ' `) RnWea�o11�1Mr1i1EecofW.Wi4te� � Bip�daceo11�1M�I5tatapiq�i9ntwnlry) �aJ �p� FW m�k�n rvm� OI �OG�Ca�Y� mONSr N.aon.a m� �aew.a r..mu O�MI fl��iCer�ce ol moNN (il p�c��MO. M fUl�l BiMWau o� mouw �SUie d �»qn counvy� Z. � �CKNOWLEDGYENT 1�eYno.IM9e ��at I N�v rtCervlp �nlorm�llon �eq�Ni�q EaeqerW� eOmmuniGN� Oi�OW! N�� tle fe�u111y V�nfmiXW. �rq � 4f� OI N� �MI fl�n IOt IM rvuf N�1 C�YMf �Ip$ (Kpvi�W �wn�n e�iK+rc� av�emv��)��� �/ c�, ' / S�o�uwroo��cnaaniS_`i(XL=i11:46RLi On.�M�� W�e�.1� in� �ppv� �oG�kanl Ma oCj�tiW le r�nlYinq pY wN a�Rirmalion er aip�ulun lo N� �tar� �Ckro�IMpmm� Ce[�uN W «Iq�Wf MWI�. ci.n a Covn wi. SI�U011ttlluu I u: bvarhllirmN�IN�lnlamuUOnplrw� counry a Giwm 1 m wa �oW�.von i� we.m rnn«�. �;,�„ _. ��llonin, OWY� rnmn„ � N�� I00� W ��+\'»CnW�O�M�� b fM L .�CIYOI OLL�. . V�� }.�9 `-. C4M1 ol N� GiOaOn GRWI Cwrl CONSENiOFG�qENTS,VApENT.OFGU RDII.N Wa.11ia pv�ntf ol Ctif �pqi[ant nenGy 9�H cpnxnlla fNa wmuq�.11 m7�� WRr� K^a. �ta:e h[tf �i[1� R�Ye IM [onun� o11M ot�et parsnl �vresavry $�IteOI1Mi�N � Coun�y ol � u. qNO IO • MONf� ID• SuoacrieW �M �.om w pelw� ce m1a _ Eav ol f 9_ Gen E ISSUED BY ORDER OF COUflT. A marriage license naving been reluse0 to lne eGOVa nameE Derties, tne Cqunty Court, Ey written order iseueE aui�orixes ana Cirects Me issuante ot a marriage license Io I�a sEove neme0 parties. RETURN OF MARRIAGE LICENSE AND MARRIACE CERTIFICATE 1 rertit Ihat there wav filed in my office e mertiege lirenae issu 6y Ihe Clerk of th/e/�JC�ireuit Court of Gi6son County, fndiana, dated S �, n , authonzing the �mjarriage ot� �"�—�- �- Ld /�� �d 4a7/i..<._ i . � , .L-f-. _��_l% V I further ttrtify the the follo ' g m ege certificete was filed in my offirn/�:� ' � 1� -i`� %� n (n e), cer4�f�y Nat op �(date). at �� in ounty, Indiana • �� �� of Caunt � `3p Y o (ste[e), and �n.. - of County, p� (stete) were mam 6y me es au[honzed under a memage lirense thet was issued 6y the Clerk af the Circuit Cour f Ci6son Cau ity, Indien , da ed�6 . Signed 6y: /� � (offitiel designetion) FSled and recorded in eccrordenre wifh fhe laws of [he Stefe of Indiana on `�R- 6� �°`rd (da4). Signed Clerk � )�� Ob�l�-Dc� '"', -. �_��-r��� MAR � 7 2003 : �� �,-;�t,�� .,. ._���-i� ^igctlN C:J� i,, � Y :�UpIT9i'. . �, 1,.