Pa' 205

4)\r<)
Man'iage License Docket of:::Lackawanna
:T-
County.

Mr.$ $\^,,.oo; \ooosS* lN". i[U6],

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\ .APPLIG;ATION FOR 7VT?{RRIAGE.

il,8n, \\\ $.)*a''"ut- \*\i\)-"
I 1. Fult naxrenf the I
:. r'u',emeortLe*o*nn, I {n*{{ \\'OiJt:UVtt*"-- L-^q""
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s. marriuge'
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3. or thc partioe, eitber by blood or
rletrtionstriporthcpartioe,eitberbvbloodormarriuge'
Ilefrtionstrip | ,"'*N*eV
, \
\ ($0,
.r, Aseoftr)en*o, | $ *t'lttr."rf \9 rt^-o- \i''\,'-1rtf f
t
)
I
6. ngco.Lewon,u',
rcsn,
|I {tX,-l^iis"-vy,\,"J"\tt*"rq)r(Qu
a.\
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0. Biftlrplsceor I \e,t,r'A-h't-1A'-
7. Iliilhplrcc of woEu,
A.,,
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I
ri. ncsidenceortbL'r,au, - L e\o - \r..}1,n-i''-xp\ \Y^t"g{)
0. Ilecidettce of ill€ wotrlso, I N - -"
r0. psrerrc,!'!€-u,ro, | \,"t"^ - R$$o-o-
r. p.rent$'uutrr*woo,un, I ai\ra" -\tA<,. - q-\"4Jrtx,t.- \
l:1. Gu{rdlsDt! Dtrnle-Btlot
|
13. cuardi4n'snsme-woDtrD,. I =-
1{, CoDsert o[ paroot3 or gurrdisns' I

ti. Dste of dertb of Dnn'! forner vifc, if rDy, I .-'--:-.-...--

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t6. DrteotileatholwoDran'sfolnrcrLusbrnd'lIstry'
!;. f)ote of dlrorco of Dlsn !t aly tlue,
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19. l)ilte of divorce oa wotrliu 8t roy tlme, I ----"---:-l-
le. cororotpsrties, | \}J\\t
-
r0. occupatlon of trr$n, I \-a--\\o\-t^
lt. occup&uoo orwonan, | \\"\ \*ur-)

haekqrrranna GortntY, ss. :

... personally appeared before me, Clerk of the Orphaust Court of saiil Coqrty of LackXvanua, at Scraflton, Pa',
)
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oilouil"t forth are correct\and true, to the
rvho, being duly qnalified according to larv. did ilepose and say that the stateriiauts
i best of thcir kuot'ledge alcl belief'

\ Srvortr arlcl subsiribed before nle, this l

L[t] dayofY\-$-\lr\n-.'..,q,. o.,sel J

.*.............and, ogplicd for a

Lt-nn*fturn -....

.................... ......9eor I,
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,nat('! oqtotc n,e' \ov cerLulc*t ^w@41Pq

u -..v"r^"
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j1.C-r.t5$J\.$'rl..:-...Clerk
- *.o...$kr _/ t. I 0\
O. C.

izd rzo?r,....,S!\.til\,Rl&.t5\ ....... lig, \, d.upti:ate "r,'t

certificatelinfor T\)o,hg,touit: "/. ....1 Y:-..\9 s\)'.\.,l,,rl
'L'.' -\'-\O .

hereby cerLi/y thal ott' the....... -...-one tltousand e i1Jltt lnndreil

an d nin e ty - ...$...r'^Jr- :...., a l. .. .L.RJ\.-eurJfr :--r.^-.
o,,2-^ -cr.N- rs:u,1\"r,u", Eo u,{.r$-
the Clerk of the Otphdns' Court o/ LacLatoantta CourLly,

f\ o ,c ot0'