Marriage Certificate - Pegram, Ivy D_10/29/2007� :
Form prescribed by Indiana State Of Indlana
State Department of Heallh
""°erAo1hO0"°` Certified Marriage License . No.:2o0�-,6
IC37-77-0�
Gibson County Applicauon Date:09/7212007
Groom Bride
Ndme KEARY W PEGRMd Name IW D h10RGAN
Age 32 qge 2e
Residence 5z� wao0 5 Residence sz� w800 S
FT BRANCH, Indiana 47648, USA FT BWWCH, Indiana 47648, USA
County of Residence c�oson County of Residence c�bson
Place o/ Birth Indiana. USA Place of Birth Intliana. USA
Dependant Children Dependant Children
BR4YDEN PEGRAM BW�,YDEN PEGRAM, ALIYAH SCH�dITT, KnYIIE
SCH�.71TT
Father's Name �ERRY JAAIES PEGRA�d Fathe�5 Ndi17E �'DALL LEE h10RGAN
Father's Residence Fathei's Residence
Indiana, USA Indiana, USA
Birth Place of Father md�ana, usA Birth P/ace of Fatfier indiana, us.�
Mother's Name LINDA DIANE PEGRAM1I MOthB�'S NamE? VAUGHYETTA SUE t10RGAN
Mother's Maiden Name KERNS Mother's Maiden Name cieseu�vw
Mother's Residence Mothe�'s Residence
Intliana, USA Indiana, USA
8irth P/ace of Mother ind�ana, usn Birth P/ace of Mother Illinois, USA
Date of Marriage 131h day of Ocrober. 2007
City/Town of Marriage o�ttr.asTnor County vanderburgn
Name of O(ficiant a0e oOVG�S Title ORDAINED � tINISTER
License Issuing Clerk Becky V`JOOdbum
The information above is a true and accurate copy of the information on file with the County Clerk regarding the
Application for A�tarriage and the Marriage License issued by this county.
Clerk o; (he Gibson Circuit CouK, Gibscn Covn,y, Indiar,a,
�his 297hCayolOcrober,2007
Seai n �� n�"""' 1
\., I���_,CJ'`^'\ vuC
Clerk
� �L�: 2007 - 16