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Marriage Certificate - Nuckolls, Cynthia M_8/22/2017 Form Prescribed by Indiana STATE OF INDIANA Number: 2017-0000092 State Department of Health Under Authority of Certified Marriage License IC 31-11-4 Gibson County APPLICANT 1 APPLICANT 2 Name JAMES H NUCKOLLS Name CINDY MARIE RHODERICK Birth Date August 21, 1966 Sex Male Birth Date March 19, 1966 Sex Female Residence 818 PRINCETON ST Residence 818 PRINCETON ST Princeton, IN 47670 Princeton, IN 47670 County of Residence Gibson County of Residence Gibson Birth Place Indiana, USA Birth Place Georgia, USA Dependent Children Dependent Children JACOB NUCKOLLS None Parent l's Name Unknown Parent l's Name WILLIE HOLLAND Parent l's Residence Unknown Parent l's Residence Indiana, USA Birth Place of Parent 1 Unknown Birth Place of Parent 1 Georgia, USA Parent 2's Name BETTYE LEE NUCKOLLS Parent 2's Name EMILY HOLLAND(LEWIS) (HANCOCK) Parent 2's Residence Indiana, USA Parent 2's Residence Indiana, USA Birth Place of Parent 2 Indiana, USA Birth Place of Parent 2 Georgia, USA MARRIAGE INFORMATION Marriage Date Tuesday, July 4th, 2017 Marriage City/Town Princeton Officiant Name Emily Mae Rhoderick Marriage County Gibson Officiant Title Marriage State Indiana License Issuing Clerk Jim Morrow 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 June 2, 2017. FILEDClerk of the Gibson Circuit Court, Gibson County,Indiana,this 37st day of July,2017 AUG 2 2 2017 • � � 'J GIBSON COUNT 7T6- Ifritt a b- la-0'7 ' 901 - 001 • Lf 314-©a