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Marriage Certificate - White, Debbie A_6/8/1990" ��XfE Vt �I�L�AI�A \O. XeJl�caG��AaWOeLL) ,,,`�,;; ;�,,,.,,,, i APPLICATION FOR 11ARRIACE LICENSE eu� . Gibson County • 4'" ` a�F� �p vtion !HALE � FE1fALE 5fedicel &camination Report Dated \fedical Examinatian Report Dated p 7—�%8% NameolPhysicinn \ameolPhysician��,R �G,.�QQ ALL OUESI'IOSS MUST 0E A\S W ERED. �C ]t- W-0 p+uctlOeE "F�I�e e•vbment-W�oo'e� p�ocuro� tEe iaeuanca a! � lieepee b m�rry py �ny pb� �tatemevt. repreunta�iw or pmteou �]�II b:IveE iv �vy �um net axceeGing (ive EmErvE G011�r� �f500.00)". \iALE APPLICAIT Prev�om Marltal5h[m: Never M�rtieG B� OR Lut Marl�ge BnEetl By: Oe�tp � Ofvame O Annulmeot ❑ ��b a! EIM verlfieE Oy: ❑ BIrtL�,Cye/r�t� O JuEici�l Decm�' y/J � ❑OWerISGec�fY) -tiGJ/LLitJ-=d'-ot-.C�Ci' .. i. nre yo� no. o� e...�y�o� ..e. ea.o .a��aqsaae.a.m. vem�ne� � �r�,❑ ❑.n,�-::.-�-,:,emee.e;�euue�e-«.em�.aar n�o�v..e 2. wnyou.Qtleaa�IN.tr.n.mi�:ielealae.u4 \o� veep 3. wro you rc1�W w IDe fea�lv �pplicmt aw..m.owwmmv.�o� rcov�j eso �. nr. yo� oew �oa.. we i�nuenc. or mm.;�.vm¢ uymn �o e// rn a 3. Ap yo'� no� mEtr tEe Intluence ol � p�rcotl[ Erug? tio C� Yea 0 !. Llat tpe Icll u�nv� ef �oy tlepepEev� eEilErev. ]. An yw rtQUlrttl Ey �ny court ortler er orCert �o.�vcan mueo.�e aepmasm cnuanna �o _ vn ❑ �nvs.e. i. yn :�� i..�a��ma w.� m�. wcau�.vm� ee.ttomw�+�e ey utiz(acmry Praof �CU yov �ro iv compli�on �it0 �vY roun orde� or oiCen u�mE br [Eeir suPiort. 3. Full mne at 6tEer _N[f6LL ff/`� -°`: W1 . ReaiOeoce of (�tGer O( 4 ceoe0 m nuu) �i��_('j .. Bumpt�ee ot t+mer (SUie or foemge eeueiry) D�- I.i�.__ ! B. Full nv<m o�ne o! mo:�er /I.�GV/I�(fyVN_/T-ci/lJ.�.Wi.�+� a.smmce at oomm p� e«a...a m suu) ����%"� �_ __.._. BIM1EpI�ce af moNn �SUb o� (amigo couctry) _.p}�(1����4_.._ SubdioEla°� � ( ((�/jj1��/ /� i�n t�� �llu ��irve�oa �ir�ac CeumY /:%I.C4/1��. S�! (N �"� p � • m sm� %ui u.. eae.e. SubrtfOeE�nGrvamaEdonm�c�t. �� a.ya 19 ❑rt af Ne G�oa C4uit Covn Cq\56\'I OF PAREYIS, pAREYI' Oft GUAROIA.�' R'4 W� pareW�. dtEb �pplir�nt EerebY [M'e mmem for thb muns6^ If oNY ane percN [Iry. �uu f�[v �hIN �e�e� the mmm N[he oNe� parmt vM'z'm�ry SuvNIvGlavl � CeunryN �••: FeWae SWUM�d�vE�.omuEdareme0� deyd 19 Clth FEMALE APPLICd\T Lau Prvvlw� Afu nl Su . Krver Mp�leE O OR 1+ft M�rri�p,e e�a.a ey: o..:n ❑ OlvOrtv Annulment0 D�b ol01rtE veriOeE Oy: O B1rW [en. ❑ IuEI[iJ Oecm� ` /I OONer�Sqn(y) 011/L(q/?�__ _,__ R you m.. �e you e..� xev �.a}uaq.a �o ne ot uo,a�oa miaat ruo J vea o . u.a:...r �a "r•. : n.s m..tivam.uoo ee.o r.��.ea_ . u�c.✓_._r.. n— "_ 2. Am yeu �(fllcteE rrtp � b�n�mle�lEle Gneue? No � Yta ❑ Y Am yw rc1�4tl b tEe m�le �ppllc�a[ eio:er m.o �amna commv no ) ve. a �. wre yoa now unaer me ienumce o( imaxlnting liQmr? Na ['/� Yn o 5. Art y'oo now uvCer Ne Influem� o! � o�`eotm Cmg] Ho L� Yea O 8. Lis[ tCe tull u�mea ot �ny pepeoCevt c�1lEren. r. w«��o�rcq�veaer.�ym�no.ee.o.oraen m.�va�n �n..eo��e espevam� cnue..�a ua rL�Ves o u. 'rn- �� i...a��,<a mu �m. nvorc.uao e..eeema.��.e ey uI¢ ory proof tp�1 yeu �rz ip eompli�na wiW my cwel orEer ar ar0en usueE !or t�ert rvppan. 8. �ull o�ma o: f�Ner —(/.J �! _� / r�:�emce o� nmer �rc e«..:.a .o .uvs� .__�� OirWV1¢e a( t�tner (st.te or tarelen coumryl 9. Full malEen n�me of motEer _'.1.'l fL_`_?.=t±d / P!4<Li�__)�� a.:;eeoa. o� mo�e« 1�� e.a.,.a w.�.�1 '� I "'=`^— W _�—_ . .-... /. _ _ e�.wv�•« o� mome: �suu o. m.eie� =o�ovr� Su[erllNl�n IEepp v�nneN INwm "npvm Cou �I: In [Eb�{bn 1. t �M m¢L c[y vee�a '!✓�-> n.. nae.e. sm.«u.d.m✓.+y.�memAm�w a.r� is 8 '!�� �ti �' Clvk a1 We GIWn C4m1[ Cecn I CO>SE]TOFPARENfS.PARESI'ONGU�P➢IA\ IMt We pumu, d Nb eppllnm heeNy glve mmem (ar Nu m�rel�ge 11 oNy one p�rm tl8�a. �tate f¢u �-0IN revdo [he mxent d Ne otEer p��ea[ cm¢essry sv.«a�oei,x l... Caun�r � ( SuE+ctl]eC �M aram b Edare hNei d i9_ pe:k CO�IPLETE [F AfAAAIAGE LICE95E ISSUED BY ORDER OF COURT. A marrfege licenae having been refused to tAe abovc nemed parties, the Cwnty �urt by wri[ten ord¢r issued e�d fded au[horizm aod d'uttte Ncusuanceo(amarriageli<ertvetoNeebm�enamedpanio. REI'URN OF 1fARR[AGE LICENSE AND AIARRIAGE CERTIFICATE BE IT RE.HE.5IBERED, thr�e m-s /iled in my o/(te c mert'sge license issued 6y (he Cferph po/ fhe Gibson Circuit Court oj Gi6sm �Counry, lndiana, datedthe Zy� �ayo/ �s� .� .19_tLLauNOrieingthe%�ningrogethe�mhusbandaMvi(e Be it L - /ilaf !n my o//ct tomtr. �ha+ on onelAoc'aMNnehuMraiaM - J ,(� ' I � / County o7 SUfe o/ IMia � �--- �A !� J � �omty. Smu o7 � «�lA- a�d BrrE �D � l��/ .9�� y / Cour'ty. S�ate o7 �1-eT�CC!/1U'i mere 6y me united in mamege ca cuthorized 6y a m rnege lice�u< iuued /w (hot purpou 6y the Clerk o) the Gi6aon Circuit Court oJ Gibson Counry. Dmal Ni� `�' �� day o/ �a 1912i. Sign �� O//iclaf D ignatiw (� FT(ad and i¢ordei in accoNaKe with Ne fama o/ Ne 5(ate W IDdiaro thie daY o/ � //� � 19iL� . Sign Cierk ' Cisuit Cmrt �,/�R. �� � 6 � �