Marriage Certificate -Johnson, Cathy Marie_5/6/2016 Form Prescribed by Indiana STATE OF INDIANA Number: 2014-0000181
State Department of Health
Under Authority of Certified Marriage License
IC 31-11-4
Gibson County
GROOM BRIDE
Name JEFFERY CHARLES JOHNSON Name CATHY MARIE BLAKLEY
Birth Date December 26, 1958 Birth Date February 09, 1959
Residence 1474 NORTH OLD U.S. HWY 41 Residence 1474 IN OLD US HWY 41
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
ALEX JEFFERY JOHNSON None
Father's Name CHARLES ELWOOD JOHNSON Father's Name DONALD DALE CAVINS
Father's Residence 1201 CANAL Father's Residence EVANSVILLE,IN
PASCAGOULA,MS
Birth Place of Father Indiana, USA Birth Place of Father Indiana, USA
Mother's Name CHARLEEN SUE JOHNSON Mother's Name ROSE ANN CAVINS
Mother's Maiden Name CRAWFORD Mother's Maiden Name HORN
Mother's Residence Unknown Mother's Residence 1319 OLIVE ST.
EVANSVILLE, IN 47714
Birth Place of Mother Indiana, USA Birth Place of Mother Indiana, USA
MARRIAGE INFORMATION
Marriage Date Saturday,August 30th, 2014 Marriage City/Town Princeton
Officiant Name Tammy Sue Scheller Marriage County Gibson
Officiant Title MINISTER 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 August 20, 2014.
F IT '�1 D Clerk of the Gibson Circuit Court,
�Gibson County,Indiana,this 1st day of October,2014
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GIBSON COUNTY AUDITOR
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