Marriage Certificate - Richardt, Brandy_11/6/2000�
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STATE OFINDIANA • No.
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GIBSON
IC71-7-&1. Fumbhlnqfalwlntormetionuponapprylnplorlicenae.
A penon who knowingty furnisnes lalse intormalion to e clerk ot the
circuit court w�en the person applies for e marriage license under IC
37-7-3 commils a Class D telony.
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AMFIIAGE UGENSE File
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CO U NTY Date ol AOP���etion
Female Appliwnt 50 > No ❑ Yes ❑
Ii No, MeCical Examinalion o epo �atetr -
Name of Physician
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FEAALE A7VUCANT
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♦CKNOWLEDG4EM
I�ctro�leG9� It��� 1 n�re �K�irp inlorma�ipn iparoi�q Nm��rwy cpnmuNC�04 Uifuu�
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CANSENT OF P/�qENiS. VARENT, ON GU�Hpllpl
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COMGIETE IF MAqpIAGE LICENSE ISSUED BY OtiDER OF COURT. A marriage license naving Oeen retuse0 to Ine.aDOVe named Oarties, t�e
County Court, Cy written ortler issueE '
enA liletl in autAOrizes an0 Girecb I�e issuance ol a marriage license �o Ihe above nametl parties.
REPURN OF MARRIAGE LICENSE AND MARRIACE CERTIFICATE
I cr+4ty et [here u•es IJed in my otLce e merriage license ivuedv 6y the Clerllc of t6e Cixuit Cour"t o,/f Ci6son County, fndiana,
�� dated euthorizing the arriage of �7 /�fi/� end
i . Q • yj,� �� �/ .
I forther certify th the following ge certificate wae filed in my om :
t� (nam certify thal on (dete, et
-��County, lndtene,
p of ) -� Y
---�9 (stete). end af .�l/n...a County,
a�` (atete) were memed ,b/y" me� e ^au.t-6oriz�ed under e merriege Iicense thet was issued 6y the Clerk of the
Gircuit Court of�0 6son County, dlana, dated _,�,.[�N' Ci� . JfA^' ,
Sig°°d by .�� �1r""t`—` 1'^ ` (o�ff�+el designation)
0 /�-qy/
h]Ied and recorded in ancordence wity tye lews of [he Stete of lndiane on C X(,C�OL� .3� �A ^(date).
� Si¢ned �%i_�•/ �//�r�%�� Clerk