San Andreas Judicial Branch
Marriage License Application
"HERE FOR YOU | SAFE FOR YOU"
Party A
- Name: Albert Lewis
Occupation: Bayview: Director of Training/Supervisor/ Judicial Branch: Paralegal
Date of Birth: 04/MAR/1979
Location of Birth: Brooklyn
Current Mailing Address: 1 North Rockford Dr
Contact Information: 591-7092
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: Albert Lewis
Label for Marriage Certificate: Groom
Proof of Identification: **Attached Document**
Signature:
Albert Lewis
Party B
- Name: Isabella Lewis
Occupation: Assistant Manager at Downtown Cab Co.
Date of Birth: 20/APR/1995
Location of Birth: Donetska Oblast
Current Mailing Address: 1 North Rockford Dr
Contact Information: 553-3336
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: Isabella Lewis
Label for Marriage Certificate: Bride
Proof of Identification: **Attached Document**
Signature:
Isabella Lewis