Marriage Certificate - Smith, Brenda J_9/12/2001; P`,���
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_ STATE OF INDIANA • . No. . �
APPLICATION FOR MARRIAGE LICENSE Fi�e
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COMttETE IF MARRIAGE LICENSE ISSUED BY ONDEN OF COUHT. A marriage licen�e �aving been reluse0 to l�e aCOVe namaE paNes, the
County Court, Dy written orGar iuuea
enOlileE i� auihorizea anG Gfrects Ihe issuance of a marriage licensa to Ihe eCOVe nameE pariies.
RETURN OF MARRIAGE LICEVSE AND MARRIAGE CERTIFICATE
I terCt/y tLet t8era mae filed in �y ofSce a msrriage L'rense issued by e Clerk of , G7rcuil Caurt of Gi6son Caunty, Indiana,
daf.erl/�� '3, l 5� seuthorizing the mamege of �" '"^ end
I f°� er certify Nat Ne�Pllo ��g marriage certificafe waa filed in my o re: .
I /'�.nn..� /w! A�Lr.F�— (name. t oa (date), at +�
,� .�r�..�.� County, Indiena. �. of Comty,
(atsteL and of County,
(etete) were merried y me ea authonzed under a marriege license thet was issued 6y the CIer4 ot the
Circuit Court o i6con County, ndian,e, dated SSx� ��7 3� � f S S�
Signed by: , U'— �— (�u�el designationl
FSled md reoorded in attrordence wiN the lawa of the Stete of Indiana on �O (date). �
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