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Marriage Certificate - Meadors, Melinda S_11/6/2013 Form Prescribed by Indiana STATE OF INDIANA Number: 2013-0000080 State Department of Health Under Authority of Certified Marriage License IC 31-11-4 Gibson County - GROOM BRIDE Name , PAUL MEADORS JR Name MELINDA S MICHEL Birth Date September 25, 1956 Birth Date June 11, 1955 Residence 9817 S WATERTOWER DR Residence 9817 S WATERTOWER DR Haubstadt, IN 47639 • Haubstadt, IN 47639 County of Residence Gibson County of Residence Gibson Birth Place Indiana, USA Birth Place Indiana, USA Dependent Children Dependent Children- --- - - - -- _ None None Father's Name PAUL E MEADORS SR Father's Name ROBERT JAMES WAYNE Father's Residence Poseyville, IN 47633 Father's Residence Evansville, IN 47714 Birth Place of Father Kentucky, USA Birth Place of Father Michigan, USA Mother's Name BETTY JEAN MEADORS Mother's Name BEVERLY ANN WAYNE Mother's Maiden Name KOUGH Mother's Maiden Name ATHERTON Mother's Residence Wadesville, IN 47638 Mother's Residence Evansville, IN 47714 • Birth Place of Mother Indiana, USA Birth Place of Mother Indiana, USA MARRIAGE INFORMATION - - Marriage Date - • Sunday, June 30th, 2013 - Marriage City/Town Unionville - - Officiant Name Bridgette M Chitwood Marriage County M Inroe Officiant Title 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 ofithe Circuit Court regarding the Application for Marriage and the Marriage License issued by this county on May 20, 2013. Clerk of the Gibson Circuit Court, Gibson County,Indiana,this 22nd day of July,2013 Act 02204:1-12“44_, Clerk d -18-36-a00 -0 0a • as 8- OA 5