San Andreas Judicial Branch
Marriage License Application
"EQUAL JUSTICE UNDER LAW"
Party A
- Name: Lucian V. Hurst
Occupation: Owner of Illusions Metaphysical Shop
Date of Birth: 11/JAN/1996
Location of Birth: Raleigh, North Carolina
Current Mailing Address: 11 Hawick Ave
Contact Information: 246-6126
Previous Marital Status: Widowed
Number of This Marriage: Second
Last Marriage Ended By: Death
Date Last Marriage Ended: 2017
Legal name to be taken after marriage: Lucian V. Hurst
Label for Marriage Certificate: Groom
Proof of Identification: **Attached Document**[/color]
Signature:
Lucian V. Hurst
Party B
- Name: Brook Wheeler
Occupation: N/A
Date of Birth: 21/NOV/2002
Location of Birth: Pavlovsk, Leningrad Oblast, Russia
Current Mailing Address: 2 Meteor St.
Contact Information: 254-2341
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: Brook Hurst
Label for Marriage Certificate: BoyWife
Proof of Identification: **Attached Document**
Signature:
Brook Wheeler








