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Marriage Certificate - Siekman, Amanda J_4/25/2017 Form Prescribed by Indiana STATE OF INDIANA Number: 2016-0000151 State Department of Health Under Authority of Certified Marriage License IC 31-11-4 Gibson County APPLICANT 1 APPLICANT 2 Name RYAN SCOTT SIEKMAN Name AMANDA JEAN MCCRARY Birth Date December 03, 1991 Sex Male Birth Date March 08, 1991 Sex Female Residence 3380 S 750 E Residence 3380 S 750 E Francisco, IN 47649 Francisco, IN 47649 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 GREGORY W SIEKMAN Parent 1's Name DAVID E MCCRARY Parent l's Residence Indiana, USA Parent l's Residence Indiana, USA Birth Place of Parent 1 Indiana, USA Birth Place of Parent 1 Indiana, USA Parent 2's Name AMY K SIEKMAN (MANION) Parent 2's Name THERESA L MCCRARY(PRICE) Parent 2's Residence Indiana, USA Parent 2's Residence Indiana, USA Birth Place of Parent 2 Indiana, USA Birth Place of Parent 2 Indiana, USA MARRIAGE INFORMATION Marriage Date Saturday, September 24th,2016 Marriage City/Town Francisco Officiant Name Jason Ray Brand Marriage County Gibson Officiant Title Marriage State Indiana License Issuing Clerk Jim Morrow Marriage Country United States The information above is a true and accui ate-QC-Fly of the information on file with the Clerk of the Circuit Court regarding the Apolic tiSn for Marriage ana-itie,Marriage License issued by this county on August 15,2016. • Clerk of the Gibson Circuit Court,Gibson County,Indiana,this 4th day of October,2016 yy� FILE, . • Clerk APR 2526'.! GIBSON C OUNT•, a -I3-a8- 3o©- Col. 75a - oo1-{