San Andreas Judicial Branch
Marriage License Application
"EQUAL JUSTICE UNDER LAW"
Party A
- Name: Moose Myers
Occupation: Freelancer
Date of Birth: [15/APR/1998]
Location of Birth: Newyork City, Newyork
Current Mailing Address: 4 Alta Pl.
Contact Information: 69-247
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: Moose Myers
Label for Marriage Certificate: Groom
Proof of Identification: **Attached Document**
Signature:
Moose Myers
Party B
- Name: Anastasia Rex
Occupation: Hunter
Date of Birth: 04/JUL/2000
Location of Birth: Irkutsk, Russia
Current Mailing Address: 3 Alta Pl.
Contact Information: 247-777
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: Ana Myers
Label for Marriage Certificate: Bride
Proof of Identification: **Attached Document**
Signature:
Anastasia Rex










