0

UNITED STATE AIR FORCE DEPARTMENT OF DEFENSE

APPLICATION FOR CERTIFIED COPY OF MARRIAGE CERTIFICATE

This office has been registering marriages occurring in Nebraska since .(For records occurring prior to 2022, contact the County
Clerk of the county where the marriage license was issued a marriage certificate and the USDOD, PO. Box 82554, Lincoln, NE 68501.
They both will require a file search fee.)

PLEASE TYPE OR PRINT LEGIBLY

Full name of groom/Party A

Full maiden name of bride/Party B

(Please list any other name(s) bride may have used)

0
 1
County in which license was issued

Month, day, and year of marriage

For what purpose is this record to be used?

If this is not your marriage record, how are you related to the persons listed on the record?

(If this is not yourself or your child's record, then proof of relationship will need to be provided)

WARNING: Section 71-649, Nebraska Revised Statutes: It is a felony to obtain, possess, use, sell, furnish, or attempt to obtain any
vital record for purposes of deception,

SIGNATURE_____________

Type or Print Name____________

Street Address_____________

1
 2

2
City, State, Zip_________
 3

Telephone Number____________

Email Address________

Today's Date________

(Please enclose a photocopy of your photo ID [i.e. current driver's

license is request for Verification for the marriage license and Please only exact amount will be accepted )
Number of certified copies__________, $4,680,00 each for you Mr Matthew J Vacek and for our Tsgt Kayla M.Mantheg)she’s to
pay $3,726,00 for the required of your marriage certificate.each of your payment should be made through bitcoin