Marriage Certificate - Willis, Michelle A_3/31/2014 Form Prescribed by Indiana STATE OF INDIANA
State Department of Health Number: 2011-0000142
Under Authority of Certified Marriage License
IC 31-11-4-4
Gibson County
GROOM BRIDE
Name JODY T IMLLIS Name MICHELLE A YOUNG
Birth Date February 11, 1972 Birth Date February 15, 1963
Residence 338 E MILL STREET Residence 338 E MILL STREET
Oakland City, IN 47660 Oakland City, IN 47660
County of Residence Gibson 'County of Residence Gibson
Birth Place Indiana, USA 'Birth Place Illinois, USA
Dependent Children
Dependent Children
None HUNTER C YOUNG
Father's Name MICHAEL A WILLIS Father's Name RAYMOND A YOUNG
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 GEORGANNA S VNLLiS ., _Mothers Name —• -MARTENA J YOUNG
Mothers Maiden Name ROBLING Mother's Maiden Name WILLIS
Mother's Residence Indiana, USA Mother's Residence Indiana, USA
Birth Place of Mother Indiana, USA Birth Place of Mother Indiana, USA
MARRIAGE INi±ORMATION
Marriage Date Saturday,August 6th, 2011 I.larriage City/Town OAKLAND CITY
Officiant Name ALFRED J COOPER SR Marriage County Gibson
Officiant Title MAYOR OF OAKLAND CITY Marriage State Indiana
License Issuing Clerk Becky Woodburn ilarriage Country United States
The information above is a true and accurate copy of the informIition on file with the Clerk of the Circuit Court regarding the
Application for Marriage and the Marriage Licerse issued by this county on July 14, 2011.
Clerk of the Gibson Clcuit Court,Gibson County,Indiana, this 16th day of August, 2071
SEA t_
Clerk