San Andreas Judicial Branch
Marriage License Application
"EQUAL JUSTICE UNDER LAW"
Party A
- Name: George Hill
Occupation: EMT-B at LSEMS
Date of Birth: 22/AUG/1994
Location of Birth: London, United Kingdom
Current Mailing Address: Diamond Casino & Resort Apartments, Floor no. 48
Contact Information: [email protected]
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: George Hill
Label for Marriage Certificate: Groom
Proof of Identification: **Attached Document**
Signature:
George Hill
Party B
- Name: Adrianna Copyak
Occupation: EMT-B at LSEMS
Date of Birth: 28/SEP/1999
Location of Birth: South Carolina, United States
Current Mailing Address: Diamond Casino & Resort Apartments, Floor no. 48
Contact Information: [email protected]
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: Adrianna Hill
Label for Marriage Certificate: Bride
Proof of Identification: **Attached Document**
Signature:
Adrianna Copyak