Marriage Certificate - Brown, Shawn A_3/24/2015 Form Prescribed by Indiana STATE OF INDIANA Number: 2013-0000248
State Department of Health
Under Authority of Certified Marriage License
IC 31-11-4
Gibson County
GROOM BRIDE
Name CASEY W BROWN Name SHAWN A MONTZ
Birth Date October 06, 1978 Birth Date May 18, 1979
Residence 3580 E STATE RD 64 Residence 3580 E STATE RD 64
Princeton, IN 47670 Princeton, IN 47670
County of Residence Gibson County of Residence Gibson
Birth Place Indiana, USA Birth Place Indiana, USA
Dependent Children Dependent Children
VICTORIA MARIE BROWN,GAGE RILEY BROWN, CARISSA ZACHARY ALVIN MONTZ, KAYTEE LINN MONTZ
GAIL BROWN
Father's Name JAMES EDWARD BROWN Father's Name DANNY RAY BAILEY
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 DEBBIE GAIL BROWN Mother's Name TERA LINN BAILEY
Mother's Maiden Name CHAPMAN Mother's Maiden Name LOGUE
Mother's Residence Indiana, USA Mother's Residence Indiana, USA
Birth Place of Mother Iowa, USA Birth Place of Mother California, USA
MARRIAGE INFORMATION
Marriage Date Friday, January 10th, 2014 Marriage City/Town Princeton
Ofticiant Name Robert J Hurst Marriage County Gibson
Officiant Title Mayor Of Princeton 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 December 17, 2013.
Clerk of the Gibson Circuit Court, Gibson County,Indiana,this 14th day of January, 2014
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Ssk IdLa'-61-1-44441Lf
Clerk