San Andreas Judicial Branch
Marriage License Application
"EQUAL JUSTICE UNDER LAW"
Party A
- Name: [Fernanda Estrada]
Occupation: [Unemployed]
Date of Birth: [31/OCT/1997]
Location of Birth: [Mexico]
Current Mailing Address: [## 831 West Eclipse Blvd]
Contact Information: [552-5599]
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: [Fernanda Estrada]
Label for Marriage Certificate: [Bride]
Proof of Identification: **Attached Document**
Signature:
[Fernanda Estrada]
Party B
- Name: [Elaina Rios]
Occupation: [Unemployed]
Date of Birth: [29/JUN/1993]
Location of Birth: [USA]
Current Mailing Address: [## 831 West Eclipse Blvd]
Contact Information: [300-7072]
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: [Elaina Estrada]
Label for Marriage Certificate: [Bride]
Proof of Identification: **Attached Document**
Signature:
[Elaina Rios]



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