San Andreas Judicial Branch
Marriage License Application
"HERE FOR YOU | SAFE FOR YOU"
Party A
- Name: [Terry Barry]
Occupation: [Trainee LSC]
Date of Birth: [09/JUL/1996]
Location of Birth: [The Canadian arctic]
Current Mailing Address: [West Eclipse Boulevard, Eclipse Towers Apt. 605]
Contact Information: [315-5773]
Previous Marital Status: [Single]
Number of This Marriage: [First]
Last Marriage Ended By: [N/A]
Date Last Marriage Ended: [N/A]
Legal name to be taken after marriage: [Terry Barry]
Label for Marriage Certificate: [Bride]
Proof of Identification: **Attached Document**
Signature:
[Terry Barry]
Party B
- Name: [Tadd Weatherspoon]
Occupation: [Self Employed]
Date of Birth: [25/DEC/1994]
Location of Birth: [Louisville, Kentucky]
Current Mailing Address: [West Eclipse Boulevard, Eclipse Towers Apt. 605]
Contact Information: [281-9935]
Previous Marital Status: [Single]
Number of This Marriage: [First]
Last Marriage Ended By: [N/A]
Date Last Marriage Ended: [N/A]
Legal name to be taken after marriage: [Tadd Weatherspoon]
Label for Marriage Certificate: [Groom]
Proof of Identification: **Attached Document**
Signature:
[Tadd Weatherspoon]