Marriage License' Docket of Lackawanna' CduntY, Pa.

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"%,/**a AFPLIG.ATION .FOR IIIHRRTA('ts.
FOR TIIIHRRIAGE.
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1 Fulltfafilcoltbarrrf,n'.
tr'ull !rarilc of tba rnf,n'
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FufrlrsrneortbclvourtrD,
Full !r&me of tbc vouroD, 1>O*i7-/-6'#tJ-^:g
a fl,elutloortrlpof tbepsrtlesreith€rbybloodornarrtage' I O't'-'-y </
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{. Ags of tbo Eao,

t. Age of lhe woEatr'

Birtbplue ol 0an' ,%.

7 Biribplsco of womlo, o2o.
6. R€ldetrc€ of the D1a,
o9-.,
0. Reidencl of the womco'
Prrenlst DatuFmrD,,
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10.

Il. Pareots' uauc-womairt

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19. Guxrdlan'! D!Ee-EcDt
13. Gu$dliDt! namFwomrD,
l{. ConsenC of prrgot! or guordisu!,
Date of deutb ol mon'! folee! wlfe' lf uy,
Dste of de^tb of womaq'! lormer hBb!!d, ll eDy'

!7. -Ddte o! divorce of 0s! at uY time,

Drte of divorcc of womro at any tlme,
19. Color ot prrtl€!,
Ocoupatloo of Esn' - '-z L r-- ,-
ut. Occup&tion of woman,

4.
Anil 2 uno, **
!,icense for ilte.

CountY q/c/.

Whaanpon, inQuir! haoi.ng been by me marle .of the tatrl a2plicant t4tut oolh, rctal'toe lo the kgalitg of' nid contenWtlo'led'
nrdrriage, imped.inent therZto appearing, a liccnse in tlueJorn of traw, autltorizitt'g srtid narrioge, uas ircueil agrceabl'y
"id 4,qtega1
Lo thc piooisi&s )f the Act pi^tutmblg i.ryluelt' ca-se rpje.dg$ryooided. . .? . .r aO
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the conscnt
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{aia mnor"fi to gzldlcontqnplaleiL malliage, uas Jit$ giocn
bqforc me, (by catif,cate onil, ack nowled geil, an'il'
o. ez<-\
.189O, tluplizate cerlif'cat-e in fo7: to utt:
rtlnlont&=*=&au o1

the Clnh of the Oryhanl Court oJ

Altest:
Clerk, O.
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