Marriage Certificate - Steelman, Brandi Form Prescribed by Indiana STATE OF INDIANA Number: 2018-0000107
State Department of Health
Under Authority of Certified Marriage License
IC 31-11-4 GIBSON County
APPLICANT 1 APPLICANT 2
Name BRANDI DAWN WHITE Name RYAN LEE STEELMAN
Birth Date Birth Date
Residence 1271 E STEELMAN ROAD Residence 1271 E STEELMAN ROAD
PATOKA, IN 47666 PATOKA, IN 47666 O
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County of Residence GIBSON County of Residence GIBSON 00 t Q
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Birth Place INDIANA, UNITED STATES Birth Place INDIANA, UNITED STATES `J
Dependent Children Dependent Children d . . O
NONE NONE W FFF C.)
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Parent 1's Name BRANT D WHITE Parent 1's Name BRADLEY JOHN STEELMAN
Parent l's Residence INDIANA, USA Parent l's Residence 895 E STEELMAN ROAD
PATOKA, IN 47666
Birth Place of Parent 1 INDIANA, USA Birth Place of Parent 1 INDIANA, USA
Parent 2's Name PATRICIA ANN GENTRY Parent 2's Name DEBRA STEELMAN(NEEL)
(LOGESTAN)
Parent 2's Residence INDIANA, USA Parent 2's Residence INDIANA, USA
Birth Place of Parent 2 INDIANA, USA Birth Place of Parent 2 JAPAN
MARRIAGE INFORMATION
Marriage Date SATURDAY,AUGUST 4TH, 2018 Marriage City/Town PATOKA
Officiant Name KENNETH ARMITAGE Marriage County GIBSON
Officiant Title UNKNOWN Marriage State INDIANA
License Issuing Clerk,i IJIM MORROW Marriage Country UNITED STATES
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The nforipationabdre is a'true,and accurate copy of the information on file with the Clerk of the Circuit Court regarding the
' •• Application for Mairiage and the Marriage License issued by this county on July 13, 2018.
' `I - I Clerk of the Gibson Circuit Court, Gibson County, Indiana,this 28th day of September,2018
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riiltllll o Clerk
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