Marriage Certificate - Bent, Kimberly M_1/2/2015 Form Presaihed by Indiana STATE OF INDIANA Number: 2014-0000065
State Department of Health
Under Authority of Certified Marriage License
IC 31-11-4 Gibson County
APPLICANT 1 APPLICANT 2
Name WILLIAM HR BENT Name KIMBERLY MARIE SCHMITS
Birth Date November 26, 1982 Sex Male Birth Date January 08, 1992 Sex Female
Residence 5409 E 575 S. Residence 5409 E 575 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
CHLOEE BENT,ALTON W BENT None
;
Parent l's Name KENNETH WILLIAM BENT Parent l's Name TIMOTHY LANE SCHMITS
Parent l's Residence Indiana, USA Parent l's Residence Indiana, USA
Birth Place of Parent 1 USA Birth Place of Parent 1 Indiana, USA
Parent 2's Name JENNIE LYNN BENT(LEWIS) Parent 2's Name KATHY MARIE SCHMITS(STONE)
Parent 2's Residence Indiana, USA Parent 2's Residence Indiana, USA
Birth Place of Parent 2 Missouri, USA , 1 Birth Place of Parent 2 Indiana, USA
MARRIAGE INFORMATION
Marriage Date Saturday, May 3rd, 2014 Marriage City/Town FRANCISCO
Officiant Name JUDY AMM WILLIAMS 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 April 24, 2014.
Clerk of the Gibson Circuit Court,Gibson County,Indiana,this 2nd day of January,2015
— "Sivients.
Clerk