Marriage Certificate - Maier, Melanie L_7/8/2019 Form Prescribed by Indiana STATE OF INDIANA Number: 2019-0000110
State Department of Health
I Under Authority of Certified Marriage License
IC 31-11-4
GIBSON County
APPLICANT 1 I APPLICANT 2
Name TJ W MAIER Name MELANIE LYN LEMERON
Birth Date Sex MALE Birth Date Sex FEMALE
Residence 301 S 1ST ST Residence 1481 S 1050 E
FRANCISCO, IN 47649 OAKLAND CITY, IN 47660
County of Residence GIBSON County of Residence GIBSON
Birth Place INDIANA, UNITED STATES Birth Place INDIANA, UNITED STATES
Dependent Children Dependent Children
TREVEN J MAIER, KYA MICHELE MAIER, DAMIEN MYKAEL KATELYN ELIZABETH LEMERON, TAYLOR MAE LEMERON,
MAIER JEFFERY SHANE LEMERON
Parent l's Name GARY W MAIER Parent l's Name DALE LUDWIG
Parent l's Residence FRANCISCO, IN 47649 Parent l's Residence ROCKPORT, IN
Birth Place of Parent 1 INDIANA, USA Birth Place of Parent 1 INDIANA, USA
Parent 2's Name DENA ANN MAIER (ROCK) Parent 2's Name DEBORAH RENAE LUDWIG(ROSS)
Parent 2's Residence FRANCISCO, IN 47649 Parent 2's Residence ROCKPORT, IN
Birth Place of Parent 2 INDIANA, USA Birth Place of Parent 2 INDIANA, USA
MARRIAGE INFORMATION
Marriage Date SATURDAY, JULY 6TH, 2019 Marriage City/Town FRANCISCO
Officiant Name GARY WAYNE MAIER Marriage County GIBSON
Officiant Title REVEREND Marriage State INDIANA
License Issuing Clerk JIM MORROW Marriage Country UNITED STATES
The inf a'., rove 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 July 3, 2019.
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n D y^0 Clerk of the Gibson Circuit Court, Gibson County, Indiana,this 8th day of July, 2019
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