Marriage License Application
"EQUAL JUSTICE UNDER LAW"[/right][/float][/divbox]
Party A
- Name: Rebecca Cates
Occupation: Downtown Cab Co. - Taxi Services - Trainee
Date of Birth: 12/DEC/1992
Location of Birth: United States
Current Mailing Address: 309 Richards Majestic Apartments
Contact Information: 439-1890
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: Rebecca Cates-Dupont
Label for Marriage Certificate: Bride
Proof of Identification: **Attached Document**
Signature:
Rebecca Cates
Party B
- Name: Seraphina Dupont
Occupation: Downtown Cab Co. - Taxi Services - Junior Driver
Date of Birth: 07/JUN/1993
Location of Birth: Canada
Current Mailing Address: 309 Richards Majestic Apartments
Contact Information: 303-6564
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: Seraphina Dupont
Label for Marriage Certificate: Bride
Proof of Identification: **Attached Document**
Signature:
Seraphina Dupont
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