San Andreas Judicial Branch
Marriage License Application
"EQUAL JUSTICE UNDER LAW"
Party A
- Name: Bogdan Beciri
Occupation: Correctional Officer, Department of Corrections
Date of Birth: 29/APR/1995
Location of Birth: Slovenia
Current Mailing Address: 13 alta pl
Contact Information: 326-2684
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: Bogdan Fernandez
Label for Marriage Certificate: Groom
Proof of Identification: **Attached Document**
Signature:
Bogdan Beciri
Party B
- Name: Amelia Fernandez
Occupation: Correctional officer, Department of Corrections
Date of Birth: 12/APR/2000
Location of Birth: France
Current Mailing Address: 13 alta pl
Contact Information: 250-3316
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: Amelia Fernandez
Label for Marriage Certificate: Bride
Proof of Identification: **Attached Document**
Signature:
Amelia Fernandez