San Andreas Judicial Branch
Marriage License Application
"EQUAL JUSTICE UNDER LAW"
Party A
- Name: Evan Haze
Occupation: LSC Mechanic
Date of Birth: 14/FEB/1996
Location of Birth: San Antonio, Texas
Current Mailing Address: N/A
Contact Information: 524-6115 or [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: Evan Haze
Label for Marriage Certificate: Groom
Proof of Identification: **Attached Document**
Signature:
Evan Haze
Party B
- Name: Summer Valentine
Occupation: LSC Mechanic
Date of Birth: 07/JUN/1998
Location of Birth: Charlotte, North Carolina
Current Mailing Address: NA
Contact Information: 356-6399 or [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: Summer Haze
Label for Marriage Certificate: Bride
Proof of Identification: **Attached Document**
Signature:
Summer Valentine