Marriage Certificate - Seibert, Tracy_6/1/2011Form Prescribed by Indiana STATE OF INDIANA Number: 2o11-OOOOOSo
State Department of Health
UnderAuthonryof Certified Marriage License
IC 31-71-4-4
Gibson County
GROOM BRIDE
Name RICK A SEIBERT Name TRACY L WHITE �
Birth Date May 05, 1955 Birth Date September 70, 1957
Residence 116 S MAIN P O BOX 102 Residence 116 S MAIN P O BOX 102
Patoka,IN 47666 Patoka,IN 47666 �
County o/Residence Gibson County o/Residence Gibson
Birth Place Illinois, USA Birth P/ace Indiana, USA
Dependent Children Dependent Children
None None
Father's Name ARCHIE A. SEIBERT Father's Name ALAN K. HOUSE
Father's Residence MT CARMEL, IL Father's Residence Princeton, IN 47670
Birth Place o/Fa[her Illinois, USA Birth P/ace o/Father Indiana, USA
Mofher's Name GERTRUDE W. SEIBERT Mofher's Name JANET R. HOUSE
Mothers Maiden Name BOLDEN Mother's Maiden Name SMITH
Mother's Residence MT CARMEL, IL Mothers Residence Princeton, IN 47670
Birth Place ofMOther Illinois, USA Birth P/ace ofMother Missouri, USA
MARRIAGE INFORMATION
Maniage Dafe Monday, May 9th, 2011 Marriage City/Town PRINCETON
O�ciant Name Robert J Hurst Maniage Counfy Gibson
O�cianf Title Mayor Of Princeton Maniage State Indiana
License Issuing Clerk Becky Woodburn Mariiage Counery United States
The infortnation above is a true and accurete copy of the information on file with the Clerk of the Circuit Court regarding the
Application for Marriage and the Marriage License issued by this county on May 9, 2011.
CleAr ol the Gibson Ci2uit Court, Gibson County, Indiana, [his 17th day of May, 2011
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Clerk