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Marriage Certificate - Davidson, Jami_11/14/2019 Form Prescribed by Indiana STATE OF INDIANA Number: 2016-0000051 State Department of Health - UnderAuthorityof Certified Marriage License IC 31 11 4 GIBSON County APPLICANT 1 APPLICANT 2 Name DOUGLAS W DAVIDSON Name JAMI NICHOLE LYTLE Residence 1200 W MORTON, PARK TERRACE,APT E4 Residence 317 S MAIN ST OAKLAND CITY, IN 47660 OAKLAND CITY, IN 47660 County of Residence GIBSON County of Residence GIBSON Birth Place INDIANA, UNITED STATES Birth Place INDIANA, UNITED STATES Parent 1's Name DAVID ROBERT DAVIDSON Parent 1's Name GREG ALLEN LYTLE Parent 1's Residence 3800 CROWELL.ROAD,APT 49 Parent 1's Residence R 1, BOX 256 TURLOCK, CA 95382 FRANCISCO, IN 47649 Birth Place of Parent 1 INDIANA, USA Birth Place of Parent 1 INDIANA, USA Parent 2's Name SUE MCKINNEY(YORK) Parent 2's Name RUBY ANN SLOAN(SLOAN) Parent 2's Residence 1200 W MORTON, PARK TERRACE, Parent 2's Residence 409 S CENTER STREET APT E4 FRANCISCO, IN 47649 OAKLAND CITY, IN 47660 Birth Place of Parent 2 INDIANA, USA Birth Place of Parent 2 INDIANA, USA MARRIAGE INFORMATION Marriage Date SATURDAY,JUNE 11TH, 2016 Marriage City/Town PRINCETON Officiant Name BRADLEY J KEENAN Marriage County GIBSON Officiant Title PASTOR Marriage State INDIANA License Issuing Clerk JIM MORROW Marriage Country UNITED STATES The information"abo.e 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 April 19, 2016. Clerk of the Gibson Circuit Court, Gibson County, Indiana,this 8th day of October,2019 N O V 1 4 2019 , Clerk J IPr e GIBSON COUNTY AUDITOR aiQr I _ I _ r1r-1 )—Th3 — 0 acv ' AUDITOR OF GIBSON COUNTY •h � ,» Telephone 812.385.4927 Fax 812.386.1173 www.gibsoncounty.gov TO Whom It May Concern: My Current Legal Name isnl , I 1 0 e . — I am/was also known as N L . � • J a", . Aso . C PeA. � (� 0 i c.k, 1 Please accept this as verification that all names given are "one in the same person" Client Signature: VI 'U � T� - C � Date: 11 l ` Visiniavir Processed By: AvAa- Title: 1 d17( J```-le-- . 101 N. Main Street • Courthouse • Princeton, IN 47670