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Marriage License DockeI of ,LackawannaCount/r Pa.
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M"**Jt*a* A /0ri#"* )
/ .^ttr., .,rLr'rolir FOA AdA&nrAeE

l. full naure of the m&D,

a Full nume of the woman,

8. Relntlonrlrlp of the partler, elther by blood or morrlage,


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{. Age of the man, {"" 'tt Qoa"tt &ro, /ttf

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6. Age of the womau, ru'ry/rtA
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6. Birlhploce of mou, Jg'
Birihplaee of wornan, @" F""
L Resldence rtf tho uran,

t Reaidenee of the women, 'QHz)'e/u


10. Parentgt n&me!-maDl 4,4^€fr*
ll. Pareutst naur€g-tvomt!,

l?- G u a r d i a u t s n n n t e - m o n , %g /rlt"rL/r-

ry
13. Gusrdlants name-womaa
14. Cousellt of parents or guardians,

15. Date of deatb of man'g.former wlfe, if l,ny,

16. Date of death of wom&n'B lormer husband, lf eny,

,7. Date of divorce of mou et ooy tlme, \--.\=,#.

13. D:rie ol dlvorce of vompn at eny tlme.

10. Color of porties,

w. Occupatlon of moo,
MW
-funorltt
2t. Odcupatiou of wolu&n,

Lg,cnrewANNa CouNty, ss.:

And now,
tricense
/or
County tf

County

lYhoa4to7, itlquiry haaing beenby me maile of the said, applieant upon oatlz, rclatioe lo lh.e legalitE of eaid wntenzplated mar-
'asneeabts
,,:,!:qg!: llggl*yfl!??t thgle\appearing,
o ag4tearhtg, a liccnse in dwe.fmm o/ law, autlrcrltirzg datd n4amiasi, was issued
liccnse !n-[wg{qm to
1N,!!"
theprooisions of thc-,slpt.qfA inspclt easll made anttrprooid,ed.

--, the oaf,cl,ni,not' , to saicl contemplated,rnamiage, wasfirst gioen


(by ccrtifi,catc duly stgned,, attested d,nrJachnowledgcil,, an4

and eightgt
and eish,is--:%;44-
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ttreCterkof theOrpnils'

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