Marriage Certificate - Kruger, Pamela J_3/10/2003r�mmNn�c.e e, \
STATE OF INDIANA No. 1
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dK„'"�""°°"^ PPLICATION FOR MARRIAGE �SE Fae
GIBSON COUNTY � DateofA Pi�wtioo
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MALE APPLICANT
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FEMALE APPLICANT
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�LfNOWLEDGNENT �CKNOWLEDGMENT
�¢.no+��eC9e tMt I mn rec i.W mlore.uwn rt9uaL-q u{erws comnuniuGe 6ssesea I ac:no.�ea9e c•a� � Nro recei.ea mbrevt.on rperein9 aangnwf wmr.uewWe maea�ea
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COMPLETE IF MARRIAGE LICENSE ISSUED BY ORDEfl OF COURT. A ma«iage license �aving been retused to lhe above nameG parties, Ne
County Court, by writiert ortler issueE
anE filea i� aut�orixes ana Eirects Ine issuance oi a marriage license to tne above nametl parties.
RETGRV OF HARRIAGE L[CE\SE A\D nIARRIAGE CERTIFIC:ITE
I rertify that there wes filed in my affire a marriege license issued 6y the Clerk fof IG�e Cinuit Court af Gibsm County, Indiena,
dated � , euthorizing the marriege ot _��j�-� �C_/M��� and
I fur er rer 'ty tha e following erriage cerdfica[e was filed in my o re: .
f, (na ue), rertlfy [h t o r � (date), at �`�+d--��i1—=' in
n County, Indiene, of—,� County,
�3+"' (stete),end of���J County,
� (ste[e) were married 6y me a au orized under a mamage license that was issued by the C(erk of the
Gtinwt Court o Gi6s�on/ �Co�f ty, diana, dated �� f f� . '
Signed 6y: ;�l.�/(- , (otficial designation)
Filed and recorded in eccordance with the laws of the State of fndiana m (date).
Signed ^��- °-�/ �/� Clerk
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