Marriage Certificate - Sollman, Kathine A_4/7/1998�;:
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APPLICATION FOR MARRIAGE LICENSE
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Gibson County ne�� / 9��
MALE � FEMALE
ASedicel Fxemtnation RepoR Dated �fedical Examination Report,/D�aied �' 7—�� �
Neme of Phyeician Neme of Physician /Ci � .• -�
ALL pUE6T10N5 NU6T 0E ANSR'ERED. IC 041d0 pn¢e14E'R�I�e �utemeot-R'GOever procvn� tEe i�rv�eca af � Ilpe�e b m�rty Ey �ny fLLh rt�Mmmt, nDrt�svlplon or
p..eae.. .n.0 e. ao.e m.oy . om e:��ame roe moama am�... turom�-.
MALE APPLICANC
Pnvfov� AtviW SYWC Nevar MmiW � OR
L�n Mvrl��a EvEeE By: De�tG O Ulvome ❑ Avoulmee� ❑
DW o( EIM venfiaE Ey: O BIM1E f�rt. ❑ JyE1C1�1 OectN ^
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:. wn yov .mmba tiw . v.o.m�..mi. e�....., No�z ve.a
1. An You rtl�[ad b tGe (em��e �PPlicml
clo�er th�n eewnE cou�in? N� Ve� ❑
l Art you no� unCer t�e inOUevice o! Intoxicuing liquor) No Ye� ❑
S. Art you ua� unEer tGe ivOUevice ol � n�rtutic Erv�f Na Yw ❑
!. Lizt tLe tull n�me� af my Uepevdem cE1lEren.
>. wrt yau rtquirea ey my roun oraer or orESn �/
w�uppon Ne �DOVe tlepeeEeut cMlUren? Yo y Ye� ❑
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ino..« ��'r<: .�� c..w�tr.a �eu �m. wvvu�.��oo ee .ttomv.���a er
subt�ctary proo( tp�t You �re ie compG�ott vltE �vY roun aNer or orEen
ovue0lor t4rir mppon.
9. Fulln�meofful�er./.JQ�¢��.._��J/.__)fi]��/!✓.:-�6-r-�.l.._-
ReaiEentt o( (u�er (if Eece�eeE w n�te� .C�t �lA-Q�n-e�<..�. � _
e�..evi.o� oi i.m., ts�.�a o. m.��x� �e�o«r� F_ �.. ,�c.a.w.e,Q, �.�_.
a. e�u m.m.� �.me or mom�. IJd�C.. /��-.'�-`^_ _
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a�.�e��n or mo�e�, t�� e.n.,�a w.�.�i __�,�_ � D'L� �.
9lnnpl�ce o( moNer (5uu ar fartla� couetry) __. C��'F?L�..._'
Su[edloEl�p/.�•� leNw Mn.tetAelNOm+nlonslvm
y/� (i�- � In NY Ilu[ion b arve �M correct.
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Slieed ��Ml'�//�_ �. K YLCaMtAn.� �
Nw AdErs�
SuL¢eD�E �N �vyry b btlerelne thl 6iC�erk a(� Cival�t Cwa
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fA`SG1T OF PARENIS. PARPM OR CUAIt�IAN
Wa Ne p�rm4, d t8Y yplMam hcebY [h'emaem kr tAb mvel�6e 11 miY o�rc p��evt
�Ijy �ut�hca �Wd revdv 0r m�ml tl Ne eNer D�rmt ummm�ry
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Comt1 1 �
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Clerk
FEMALE APPLICANT
Proviout M.rinal S�tus: Naver M�rrisE Q� OR
LutMUrLgeEnEeEBy: pe�[E❑ Dlvmce❑ Annulmmt0
O�b o( EIrW veritieG py. ❑ Bi�Jj�Q�CaM1 O JuElcl�l Oac �`//�,�
OOWerISGalty1-.. ..___OL%�r.__ O:-`�_i_.._.....-_
�. wre you vo� ar e.ve you e.er eeev
.e��eqea w x o� uuvouna m�oe± no� v.. ❑
❑.o..�. �. -y�: , e.. �n..ai�m�.�oe e�o nmo�ear Ho'� v.. ❑
z. wnyou.minee..im.invamiumtemx.wx NoKi vm❑
3. Are You rt1�uE W tEe m�le �PPlic�nt
cloeer l��n umntl couvin? No� Ye� ❑
�. Are you vow unEer Um influeoce of ivbzic�tinR ��9uorf No'� Tee ❑
S. Are you no� uv0er tGe in(luence ol � v�rcaUC Crv� No�i Tea ❑
!. Lbt tpv NII n�msa o( my EepenEevt cEiltlxe.
P. Are yau requireC Cy �ny court oNer or orGm�
ta support t�e �EOVe tlepsnEem cEiltlren? No� Tee ❑
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❑.o..e. in 7e: �. u �e reaw.�a m.� at. wppuc.ron ee..comn•n�ea ey
e�u�f�cbry praol tG�t you ve iv compli�vtt vitE �ey coun oNer or artlen
�aaueE far Neir �upporl.
B. Y'ull n�me a( tatEer __._[�,e�._
a�+menoe o� t.me. r� aec..eea .o .uiel __ . �
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Bin�pl�ceofl�Ner�SUtemlorelRn<ouvtry�.._._ �w,�_
s. e�u m.m�� �.m. o� mom�. __. ._. /.1 n
ae.iaevnotmomertira�.,�aw.�.a) _. _ . _�.d�i
Bin�pl�ce a( mot�er (St�b ar tortlgn wuntry7 .....__.���+�ti.
St�te tl InE � I tlep � �uu Ne INmmatbn �m
Covn[)' . In Nb �p t�tbn b 4ue �M co t
Si�nad
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SuE�crNea� omb d s e b d�yo{y6dmy_19�
Clert �W 1!e Glbev C4w1[ Cavrt
CONSC\"f OG PARE515, PARE\T OR GUAROIAN
R'q Ne pveNe. d Nb epPllc�nt herebY 6„'e mmem far �Ab m��tl�6e II WY one D�rmt
eign. mte I�m . Alcl� rtMe� Ne mromt a( Ne etAer puent uMaaa�ry
Sn[e o( Iltllav. 1 .•.
Counq w j
Slgn F�Wer
SuGwtlCaO �nd �wm m bdore me tAia E�y � I9 _
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COMPLETE IF MARRIAGE LICENSE ISSUED BY ORDER OF COURT. A merdege Iicemeheving been relueed W the ebove eamed partie� the
�ob Cwrt by vritten o�der iesaM eM filed
1n authoriza flnd d4xb ILe laevance ef e merriage Ikeme b Ne ebove nemed perti�.
BE IT
� dated the _
Be uy /�u.s�Ao�
L -Ke-'�'
RECURN OF MARRIACE LICENSE AND MARRIAGE CERTIFICATE
th<re wm /iltd in my o/Jict a (m�artie�ge Iieenn issued 6y the Cierk o/ the Gi6tan C"vcuit Courf of GiWon Comfy, /ndiaw,
� (} �^y o/ `„�° = . 1 a tiCY pulhoriziry� lhe%oini�, mR{{Ey� ye h�ybund aid miJe
„�^• /"!ai in my o//ct tomit:
on
onefhoua�vnehuMreia " � � L�! ��
Cowty o/
Sm[sollMia� � / Cauny. Stateo��
arc{ Brid. a lacL Q.++�.-+ �/S ^/ Coumy. S[ate o/
wrrc 6y mr uniled in mar�iage m authorized by a rr"age license iuued /or (huf purpoae by (he Clerk o/ Ihe GiWon Circuif Court o/CiMon County.
DaeedtM� �J�� w yo/ 19_2 Slanef 1% � -
OJ/iciafDOigmtion y �j
Fl"(d and reordef in aceoAarce �uith the /a�oe o/ Ne State o/ I�iaw Nie �� �doY o 19�.