San Andreas Judicial Branch
Marriage License Application
"EQUAL JUSTICE UNDER LAW"
Party A
- Name: Rover Smith
Occupation: LSC Assistant Supervisor
Date of Birth: 14/NOV/2002
Location of Birth: Egypt
Current Mailing Address: 79 Diamond Casino & Resort
Contact Information: 696-9696
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: Rover Smith
Label for Marriage Certificate: Groom
Proof of Identification: **Attached Document**
Signature:
Rover Smith
Party B
- Name: Dasha Belova
Occupation: LSC Mechanic
Date of Birth: 15/MAR/1991
Location of Birth: Russia
Current Mailing Address: 79 Diamond Casino & Resort
Contact Information: 518-4716
Previous Marital Status: Divorced
Number of This Marriage: Second
Last Marriage Ended By: Divorce
Date Last Marriage Ended: 10/Oct/2023
Legal name to be taken after marriage: Dasha Smith
Label for Marriage Certificate: Bride
Proof of Identification: **Attached Document**
Signature:
Dasha Belova




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