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Marriage Certificate - Sluder, Jennie L_1/5/1999� � �s„�e,.a . � BTATE OF INDIANA � No. � wmw ms row a ""'�""°"""°'°"" APPLICATION FOR MARRIAGE LICENSE F��a wita�.ra GIBSON COUNTY �o,,,a;,,i�,�i,o� IC�1-7•Y-1. fumishlnplel�alnlortnetionuponepplyinglorlleen�e. A pereon w�o knowingly lurnishes lalse inlormelion to e clerk ol the cireuit court when lhe person apP�ies lor e marriage license under IC 31-7-3 commits e Clees D lelony. � o.n a evu� o� MALE AVOLICANT Vmiw� Mv�YlStttu�: NMr MartNO O ON No. M Prhiwf Mart M�N O DMrt��ry �M��mmi O O�tr pW W dM vtlflM W: O BI�`�G(/ry1 uk�h O Oma ISp�ciryl I�l(/�IAI�/�" V`�Q��� 1. F�� YW � n �m 1W �r�� EMn �O�W iM W W OI unwuM minE) No P Yn O II m��N b'yn: M� 1�� �O�uOiGliOn Ewn nmOrW ) Ne O VO p t. ��t yeu M14�M Ic 11�� M1m�l� �ODet�nt Cb�n Ntn HCOM COU4ni Ne � YN O / ]. /�p yy M� uM�r Itr InlNrrc� OI �n �kdalK Nro�O�l Ne ��VI� O / �. M� �W nT VMN IM NM�IeC� OI � MT01C N} o NO G Ya ❑ !. LI�II��IYOn�TM01�nYO�plMM�CNIE�M.��a a. 1�1 �w nm. a.00�uni'� innv ��I bOpIM.4�1 MOplln P�r�nh Onl�� ' -^m � RMb�f1L�011�N�1�IIENMNG.Mt1�1�) v'�— ` Bi�1lfpYC�M1�N��I$uM10/Id�qnCWMryI `Q��A1n/�'ui_J lel � W�am nuv o� �pp0unn mMMr �11 bOplH.lbl bOpIM P�Hnb On71 RM�O�M101 mO1�11 �II OKI�MC. �0 �t�l�� Bhmo�ewMmomvlSUi�aion'qncaunWl �C�'M � n I�CKNOWLEDGNENT 1¢�nO�lqp� iMl I ��v nc�mE inlOrtnrtbn ,p�r01n0 0�n0�rmf rnmmunkaEle CM�ft� I�tlmM�uUIYV�n�mltlM.�nO�li�101Wlo�u1p10LNe IMIGUft��lO5l60uinE i�ra.ncwicrnro�,� , /) r /�� n' ' z�`c $IO,uNn 01 � �� i�� r� �� L� bo`nntl 4�ali( »-'���i` ��'- � rm .now .GOnmm �u oeiMb ro m�M�q er e.m or �Nm,.nen w.4^��uruo m..m.. Ktro�IMym�nl MGYN 01 r�Ip�Wf CIINff. crn a ca,n o.�. Sitl�ollNlm� 1 ��.ud�lO.m�Mlm�inlorm�lionplron �7 d G10i� 1�+' im m� ncN/y/�' ia we a comc�. SpnM J�L{��.�4� kl.� Ne AEC��u ��] Suew(�i�woa �w to}D�1�o���� mr �$�;] av ol �,.�. 19 �Rjj�M� I,I�OM.V�.q�CNAa1MGIWmGmn�Coun fAHSENT 0� GIJiENTS. o�RENT.OR GUMDI�N W1. �M p�rMM1 ollNUpplic�nl. �mD� pM COnfenl lor I�b mmi�9�.11 M�' OM W nnt fipm. �Itl� M1C4 �1fC� m�l� IM CMUnI OI YN ONV prt�nl unnKOLry L�I� OI IMi�n� 1 y: LOVnry01 1 i�IMI I� • MONN IO I SuOM'i1GM �M ��Om to Ullon m� Ini� _ E�Y ol 19_ GM Femele ADPlicant 50> No ❑ Ves � n 11 No, Medical Exe �n� �n �o�r ,q,1ep�o�ltl1rtD,eted `� Name ol Physicien -��)M.XY�� -➢/'R� � FEI01AlE APPLICANT n.m. vbu o� 6itt� �Sme v �a�iqn cwnvy� . I/ �. N� J ct� r�icAo�mb �,s n.ue�%% (oa aJ. `I /! �°�n S#. f'(J `L30�L 5 r1. (V ��W� Pw.e.�hQ.Qzj � eQn._ Previdu Wtlbl St�NC N,wr MaMq O OR No. ol RMOUf M�M��u � UtlumlpaEMMBy: OwmO OMOm� �nnulmem❑ DW 0 oµ. 'aru,.«i`repa W.:� o� aw,c.��unc.0 O rnn«I�NI Nei�xi�d�C3� � ]. S. �n yau ror or ��r� yw mr Ewn �CW�9b ro W ol �nfauM mIM? Na � Yn O 11 �nf�M 1� "Y�f: �u IM �EIW k�11M CMn AmOVM) NO Oy//YM ❑ ♦�� ypu r�1�I W tO VN 1�f�1� �OG���I tlofA 11�1n ��cIXq COU�In1 No O/ Yn O �re YW �� vnEw N� InIMm'a al �n �ICOMYt Mrv�p�f Na p�� /Yn O •r� yw mv �M�� N� inM�np ol � narmik E�� � p No p/ Yw ❑ lifl IM MI n�mN OI �nY O�pMEMI CNIO�m. d. (�IFOPmmeol�OGliunl'�bNV y����d 11�1a��0Um�r�� pt �aev�w. rn wcow� vn.n�. onNl �'y� Hpbv¢�o11�1Mr111Uep�HG.�as4N1 SY9�T�Y B�MO��aM1�TnISUUwbnqncwmWl �4� �A_t n r. p� �el�unm�leenmmaolwd�unhmomm�l,� �,�.�f%„_ ��1,',-�- III �aoo1MJB1 bopti�v Pumn Ony) -/�1 7 �l(1 lXJti anAl✓" � R�fI00rcaoImOlMrI110�aM.fo�bti �yM�1J1QMQ� 91MDbc� M moll�er ISYn or IonlOn [auniry) �.- ��` �`A^ti� ' ALKNOWLEOQMENT I¢lnOVIt09� 1��� 1 Nv� rtc�IM inlwm�GOn /pVtlN9 anpxW� mn�mMlqOb OltYftl IMI�I���tV�IIYV�n� 111�O.�M\II�IOIIIN�����I�XIO�Ih��iN�M�IC�YM�AIOSI�RYIIW immum OelkMrcy � �1. ��y_yy/ yJ �"�n�• � Syn�Nr�ol/�p01iu�� 'C���� bt� -�'3 TM �CO+! �pplk�n� I��f OOIMW le �Ifl�ylnp OY O�N p �HifT�llpn ol slyn� Wf� 101M �EP'� KkM�1t09mOniMC�VN01lNpbYf WIMf�. Ci�n ol Cwn D�le $bbO11MI�N ) M1w��tlellirmt�ellMlnfO�mnlMpMn cw�ry a cie.m (� 1°' `y ����+wo�i�cJna�/�ie w. ma �.�.n. Spnea �-.JI ir � O( . l.f..V�r llLt ) N�r �OUrm � a �� h^�W�.V4'A/.lA.n�aqo��.�.�..re cr.v o� u. aie.m aRw� w.� CONSENT OF P�qENTS. F4RENT, OH GU�POI�N W�. N� O���nl� ol �pb �OGIK�n4 ���eCy ONe [Onunl ld NI� nym�O�.II Mly On� W�ml f10m. a�al� btl� rnl[l� m4e �0� cMNnl ol Ine olno D�nnl unNC�sUry S��I�011n<i�N � af. LOUnry OI � f�tM/ ID � 41am. ' ��. SuOUrIpM�nC�womloEelo/�mel�l�_O�yo� �9— G�n COYVLETE IF YARRIIIGE LICENSE ISSUED BY OHDER OF COURT. A marrlege license heving been refused to Ihe eDOVe nemeE Oeniea. lhe Counry Courl, by writlen orEer issuetl en0 file0ln eut�orizea enA directa tha issuance of e marriege Ilcense to the e0ove nemeC parties. REfURN OF MARRIAGE LICENSE AND MARRIACE CERTIFICATE 1 certlfy that Nere wae filed in m�y of6ce e mamage licenae isa�ued 6,y t e Clerk of the Cimuit Caurt of Gibson County, Indiene, deted �" j /eut/honzing the meerriege af �i'i�� �� ��� end V�(�,.�. i c7. �l�.QL�J , I fur er rHf t et the ollowing mamage certificete wea filed in my offiq���: �a.g.,��� ��/� � t ' /, � -(neme), �rtil� thHt on �� � (dete), et in �-+�ti County, fndiene, r�-��%� � �- (atate), end �� (etate) were mar ed me a a tF. C'vcwt Caurt i on unty, Ind' na, dated _��� Signed by. . �� fSled end recorded in acro+danre with the lew In Dos- o3�sa, �l�O-6D3)b �ao -�0�72� JAN 0 5 1999 � of County, /-eJ of_��-�M� Counly, e merriage licenae that wea iasued by the Clerk of the Q ; �� rJ� ^�'� GIBSON fJl�'<T`"'!!="�R� deaig�ation) Clerk