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Marriage Certificate - Baehl, Jamie_12/31/2014 Form Prescribed by Indiana STATE OF INDIANA Number: 2014-0000202 State Department of Health Under Authority of Certified Marriage License IC 31-11-4 Gibson County APPLICANT 1 APPLICANT 2 Name JASON BAEHL Name JAMIE JOHNSON Birth Date August 16, 1989 Sex Male Birth Date December 06, 1991 Sex Female Residence 102 W OAK ST.APT. D Residence 1028 W 650 S FORT BRANCH, IN 47648 FORT BRANCH, IN 47648 County of Residence Gibson County of Residence Gibson Birth Place Indiana, USA Birth Place Indiana, USA Dependent Children Dependent Children None None Parent 1's Name KENT BAEHL Parent 1's Name ROGER JOHNSON Parent l's Residence 2457 W 850 S Parent l's Residence 1028 W 650 S Fort Branch, IN 47648 Fort Branch, IN 47648 Birth Place of Parent 1 Indiana, USA Birth Place of Parent 1 Indiana, USA Parent 2's Name DORIS BAEHL(KIESEL) Parent 2's Name ANGELA JOHNSON(KNAPP) Parent 2's Residence 2457 W 850 S Parent 2's Residence 1028 W 650 S Fort Branch, IN 47648 Fort Branch, IN 47648 Birth Place of Parent 2 Indiana, USA Birth Place of Parent 2 Indiana, USA MARRIAGE INFORMATION Marriage Date Saturday, October 18th, 2014 Marriage City/Town Fort Branch Officiant Name Anthony R Ernst Marriage County Gibson Officiant Title Catholic Priest 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 September 15,2014. Clerk of the Gibson Circuit Court, Gibson County,Indiana,this 17th day of November,2014 Clerk