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Marriage Certificate - Taborn, Andrea D_3/30/1995f;10 ...n.v.re� • STATEOFINDIANA No. � w.mr.a dK»-�.� "°°" APPLICATION FOR MARRIAGE LICENSE Fae GIBSON COUNTY � .?3 -9s Date of Appliwtion IC�1d-P7. FumitNnplalpintormallonuponepplY�nabrlicense FemaleAppliwnt50>NO ❑ Yes ❑ Apersonw�oknowinglyfurnishestalseinformalionroaclerkofthe pNO,MedicalEaaminationorReDO DateO circuit coun wnen tne Derson applies br e marriege license unEer IC 31-7-3 commite e Class D felony. Name of Physician MALE APPLIC�NT w.,. G�nw�4�MX5Y1q Fn�rWreWE' ON NO.dP��rqW t�� Wnyp�EZwB�: Cu�n C D�.du C YnuNyn� C W�� W4NbMrMlipy. CBNnLwYle14�1��/I ✓),,.w-�,: L _ • �. �nywro.aiu..rW«wumniwoamaei.�.wm�av xe� rec Il�n�wro}a,MP�CryCC�lcnt��rwrwp> NOU YRG S. r�murWM1ObN�lavw�ppr�nlClwrWnYCpqwwm+ NO� YaC J r�tturo.urW�V+�nIMrc�Ol�n�icpqGCpnwpe+ N0� wC � ��yMiq��Ab�M JIUMS�a1�MKO1KCNp� Np�( Ye.. 5 LiillMluerymnp(�n14�LMiCe^I[nil�'n. [�q/I.c6.��a !A e in r.e r�.. d�owc.�r. rauw, �f 1�� wepc. `u �ewuw n�rn�u Onryl ni�.�/A��°�• Mtlmc� M I�vw I�1 GRNxa. n�YI�1 a�,NwK.ao�....�m,.e.�w.�a.w,��.� SL �c�rwm.omw+.a.�o`c�rz�.+eu., - / M� In�aew�a.b��awuwaumuP+hl ��•�y� Rntlwx� W mO11M� I�I p�tYW. w �4��! � Buv.dwdmxwlSY��w�w�qnrcw��ry1 = . /.CKNOWLEDGUEn'i I K�ro. WN �'�� I Nw r�cerrp �nlMma4pn �rareup ui�nKKt turvnurya�4+^ry+�wvnl^ � sK���,.�o�.o�.�.�� �Y_�!�,� a�. 1lCOwK .ow�c.m r�.� oeiww io..,er��c or wm w.n„mnw� o�.���n�,. m m..00.. �c.ro.w9m�.v au�w d reKaus uu�i� 0.n ol Ceun Mu Stmo�IrEWU 1 ��vr�nmm�v�in�dcuuenC^�^ GwrvyolGinm 1 /J K+�+�uvuuecm�n s,c�.a %C � .C. 7� �. «...m.m — ��j Q�. $uOKnEp�Mf�Oq{CbM.m�lf.�)61WY•� 19X L/ /1// ( /1 �Y /Ldu� Cbn d N� Gle�m Cwm Caa. CAA'$ENT O� V�PENiS, V/.PENi, OR GU/�Np1�N u ol mu �cY�+nt rw�er p�v� wnun� �> u�a mar�up�.l� mN erv wrm� Km. �Yb �acbrMKn rya� tv cMNnl d W o1M MMA uvVGfYUry wuai�a+iv � �^NN � � f�IMr 10• �m.. io • wwc,�e.a..a..m� a eN«... w. _ m. o �a— ena tiieo CJa� FEMALE ' h�nm WrN15YW �. lwwr W� OF vo. d Pmcw Wrtupe WIWrtuO�EMpBy: CNNG drpiuC �C WI� d�.aaruw.n�.ah: -�Mnu.uera�.�0vwls.�we,hl '�`" ° �`�_- � �. ��.Yw�a.av..ra..«o.mwiwauawo��mwmm,a'r 'ne� rac II�N+wi�}e'NfWWryCYlLMGe���m�1�N? NOC �tlC !. •YW/�VI�CN1MeN4�pq��n�Cb�M1IWV,mCNNin? Np�' Ye.. ] eYwro�urwnLV�n�wrc�d�n��cMW[Wnrp�s N� YeC � AnYW�q�uMV�IMMFrtic�d�MrtWCCrupt Naxi 1e� 5 1��11MNqnpmnda'Q�'Y �� /! !�! � 6 I�1 [unrum�er�ooeunnlauvr �o � Illppq�C.hl�OOpYr�Va�mYON/1 �4�I\ n..c.�c.ai,moo�a.�..,ua.w.uui SN Bimolw d bt»r �Sm� w�a�qn counuy� lel [iw inaem w.+e d�aYC���. mowr III �Opplw. �u �[apYA V�rt.�b ONYI ReaqeK�OlrcYy�I�INU�Np.bNlel � &m:uu W eau+n ISU�� a �v�Tn wun W l /.LINOwtEDG4EHT i.�.�o.ra.. wi � na+. nc��..a N+a�w� �.sarcva n�a.�a. �• �.r.w uv+us nrrv�numnee.. .xn mem� mnuuu.uo5�¢am,w unnuM d�IC�mcY �1'^arm sv�,.w..m.owr.�� w�. rnr+eo.� �oo�c.m m. oe,ww �o .«nn�c or wm o,.n�.vuo. o,.p..w�. m m..xn �c.na.4oGme�a ewiae w ��4av u�;r�� w� er cw�. w�. wvonmwn 1 mmm.iu.��nior�c.mnc�+w+ ca,nH m c'�mn _/l 1 � � �.w.r+:,m e w. uc ca,«� � /�/�QaOG? x...� p.�� Leacrieq�na��wny�ei��na��ypl �9L �LGn a� �x G'�bm Cv[un Gart: CONSENi 0� ��AfNiS. ��RENi.OR GUnX�I/.N w�. us w�«:i.a� mn �a:w .� �n.er s�� �_��� m� v,. �v��o�e. u m �u�e4n�.e.u.riu.�p.ecv�un�o�uNODU�yrmtunrvcwry _ Suuollrquru '1. Coun�Yal "� u. r.w, m. _ uow. io. _ $ubCnM �N �Nn� W CNa� m� Nn � GY 01 19_ Cbn i i55UED BY ONDEN OF COUiiT. A marriaga license naving Deen retusea to tne aDOVe r.amea Darties. tne County Coen, Dy wriuen omer issuea � _ euViorizes enC Cirecb ine ivuanca ol a marriege li<ense to tne aDOVe nemeE perties. RF.TUR�\ OF MARRIAGE LICENSE A�D MARRIAGE CERTIFICATE f rertify Nat there wes fi/td in �y office a merriege license issued 6y the Cler} o t�h�efC�im/ui�t�Co�urt of Gibson County, fndiena, de[ed i- a3 - q� eu onnn (Le merriege aI � ��"*��"'"�� end ���.,_� �o � 1 fur e ttrtif [h the fallow" g ma -age certifice(e wes filed in my office: ' I. d (neme tt'fY�I m � �(�f ). at '' ��in Counry, Indlena. Y. _ n� (etau). end �" - ---- ' N" -- ot �� Counry, ���+'��-+�� (etete) Were memed 6y me az aut8o+ised under e merriege ficense that wes issued by the Clerk of [he Cireuit Caurt G/�'y,�an u,+� fndiana, '%'3 • S _ Signcd 6Y: ��^�^'� C���da[ . ('tf'i"ci"el d'es�ig'ne/tl�onl Filed end mnrded in aecardanre wi[h the� �h= of Indtane an ____��'J� . Y � r/dace). - o►q-oa�95 �' I .I :�'S� � .. 1'� S � AUDITO� ;J