Marriage Certificate - Haley, Keith P_5/9/2013 Form Prescribed by Indiana STATE OF INDIANA Number: 2011-0000229
State Department of Health
. UnderAuthorityof Certified Marriage License
IC 31-11-4-4
Gibson County
GROOM BRIDE
Name KEITH P HALEY Name REBECCA K KINGSBURY
Birth Date April 08, 1943 Birth Date January 02, 1961
Residence 7937 S 1000 E Residence 7937 S 1000 E
Elberfeld, IN 47613 Elberfeld, IN 47613
County of Residence Warrick County of Residence Gibson
Birth Place Indiana, USA Birth Place Indiana, USA
Dependent Children Dependent Children
None None
Father's Name THOMAS M HALEY Father's Name RONALD E DREW
Father's Residence Indiana, USA Father's Residence Indiana, USA
Birth Place of Father Indiana, USA Birth Place of Father Indiana, USA
Mother's Name EDNA A HALEY Mother's Name MARGARET L KASINGER
Mother's Maiden Name HIRSCH Mother's Maiden Name UPPENCAMP
Mother's Residence Indiana, USA Mother's Residence Indiana, USA
Birth Place of Mother Indiana, USA Birth Place of Mother Indiana, USA
MARRIAGE INFORMATION
Marriage Date Monday, October 31st, 2011 Marriage City/Town ELBERFELD
Officiant Name Steven R Oeth Marriage County Gibson
Officiant Title Pastor Marriage State Indiana
License Issuing Clerk Becky Woodburn Marriage Country United States
The information above is a true and accurate copy of the information on file with the Clerk of the Circuit Court regarding the
Application for Marriage and the Marriage License issued by this county on October 31, 2011.
Clerk of the Gibson Circuit Court, Gibson County, Indiana,this 1st day of November.2011
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