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Marriage Certificate - Kelly, Sarah L_9/25/2012Fortn Prescnbed by Indiana STATE OF INDIANA Number: 2010.0000207 State Department of Health UnderAUthorityof Certified Marriage License IC 31-11-0 Gibson County GROOM BRIDE Name JASON LEE KELLY Name SARAH L ROBINSON Birth Da[e September 08, 1979 Birth Date February 03, 1982 Residence 727 W BROADWAY LOT B 10 Residence 417 S GIBSON ST Princeton,IN 47670 Princeton,IN 47670 CountyofResidence Gibson CountyofResidence Gibson Birth Place Arkansas, USA Birth Place Illinois, USA Dependent Children Dependent Children CHLOE D KELLY, NICHOLAS C KELLY, ALEXANDER J JALEN M STEWART, ASHLEN L STEWART, PEYTON M KELLY, NATHANIEL S KELLY STEWART, DUSTIN M STEWART Fafher's Name JAMES R KELLY Father's Name MARC A ROBINSON Fathers Residence Indiana, USA Fathe/s Residence Indiana, USA Birth Place ofFather Illinois, USA Birth Place o/Father Indiana, USA Mother's Name DENISE M KELLY Mothers Name SUSAN E ROBINSON Mothers Maiden Name GOSNELL Mothers Maiden Name RES�ER Mother's Residence Indiana, USA Mother's Residence Montana, USA Birth P/ace ofMother Illinois, USA Birth Place ofMother Indiana, USA MARRIAGE INFORMATION Marriage Date Thursday, October 21st, 2010 Marriage City/Town PRINCETON O�cianf Name Robert J Hurst Marriage County Gibson O�ciant Title Mayor Of Princeton Marriage State Indiana License Issuing Clerk Becky Woodburn Marriage Country United States " The infortnation above is a We and accurate copy of the infortnation on file with the Clerlc of the Circuit Court regarding the Application for Marriage and the Marriage License issued by this county on October 20, 20�0. Clerk of the Gi6son Cimuit Court, Gibson County, Mdiana, this 18th day of Sepfember, 2012 5�.�:L ��.��-�� Clerk