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~ . ~ ~ _ _ _ _ . _ ,t- , . . _ _ , . : - ~ - ,/"~~-t~1~4~ `(;k~~ ~ a~a.~~ , ~ ~ ~ ~ .;1~: ~ ~ vrl~r ~.K~ 1h~ ~1~~{~~1~~ G7R+ 7.1lRr~ ~ • . , , , _ ~ ~ ~ . . ~~~l4_~~i~s~~~ ~s ~~~lei, ~ ' - . - . . . ( : . . : . ' - . ~ : . I ~ . . . _ .i. , • :~4~ t~t' lNl4Q~~' ' _1~111~ ~~r~ ~ ~?~~t~~o~ ~w; .sa~t~ . . . p~• a~ Y~11~b!~tal~ ~ . . ~ x~ ~ ~N['ARR~~G~ LIC~N~ ' . , . ,~te,~ ~t~. . t, . . . , ~C1tam ~tl~ • . ~li+~ . !e, th~t ~ur~c~ ~r~t} xiitlaor~~e~}~ 1, • i~a . ~ri'orm~. marri~ . cere,~,vnie~ tAe: ~t~t~ . 1\ow ~ tu ~ ~ , ~t~s' tna~ ..co~ue, . , nnL o~. g an~• ,le?~'ul . ~ ir~ii~dixn~_. ; i~ 1je ~y~ J .n pai~-~rerl~ tg; ~he tes oi. dlat~imo~ . - _ # n ; l- be4 .r,,~' - _ : o#- r ~1.~.. ~ . ; n . . . : _ i,h~! +:o , o~ ~ : - ~f~tk ot \ ex . Y"ork sa~ Y G ~ ~f! ~ , , : . . . ~f: . . in tlie +oounty of'.:~:. r~n+#;btate bf l~ew Yo~r.•and'W eerl~f~r t~e'~ f~a lieE aatc~ - or ~ ei~hpar oi' t,~iem u~cier hta ~ hanc~ . nnd ~aeeai -tn hia ~nisk,er~a~ or a~ieial +~pactt~y t~ere~iipon 6~ . . . as . jeqtured : t~'~ retura ~ b~s ~~ificate ~ Un : t~~ ~forbn= hcsreto ~~neiced ~ ~Thc .stat~~en~ e~~dorsed_ : ti~reon ~ ~ : unneaed ~~reto,. bg me aubacri~ed, ~ntai~' a; fniZ itnd t~%e ~bstrack ef all f~ie fae~s ~ncenu~ aur~lt p~aee - ~ dia~loeed fiv ~h~r; :sf6dsvits ~n~ed: etaretr~e~t ` _ . ta _i~e~l~ #.~e: _a ~lus lip~. . ~ _ ~it i~Etes~m~ ~s~s~tf, bavc h ~n a~t my ~ band ' ~ aad ` , , ~"o~d C`ti y a~ ~..ti~ f w_:. ; - Bot~c?u~h.-~~11~ .Q~ie~ ~!~o~a~t_. h~/ - - - ° ' - ~ . nineteen :hunc~`.a~l ~ , . ~ . ~ , _ _ , _ . , ; . . _ r ,,,..r_ .~r~_ - _ ~ _ . _ _ as~e~. ' ~ ~ • ~ _ . _ . . ; ; C~dr~ ` ~ • " , ~uy. ~ . ~'lie ~otloe~i . ts. a ~i~lt a~d ~-uQ . ± of alt tlu ~'ae~a diacloaed by ~ apptta~t M :taYetr ~ , . ~ perafied ` ' i= to: me u tl~etr. ~ttsa'~uc:'th~ 'lioen~rt'' - i~ j~ ~ ~ ~ - . - - . t'(,. . - y~,,~.~;` - - ~ ' .~...w_...,. ~ ~ . Full ~ , . . - . . . . . . . . . . -4-~--• _ • 1~•~^ - I'~I~i,%F~$~~~~ ~ . - - Plere of re~ideaoe. Pl~ of res~dence : . : . . • ; - :sa~.~.t . : _ tse~s- ~ . „ . , . _ . - ~t(.i:y To~n? oc ~t~s~-~~ }l,..i I3sa~ak t6tr.~7t'owp oe~~liti~)~~ ~~te~ - ~ " pisoe. u#~ P}soe :of bi~i.. _ - X- - Na~ae of ~+Iame of ~ Conn . of bir~h.: C.o ~-=-~~~.~1~ . en name of ~mot i... _ ~ ~~ai _ ~ m~th~r - . : ~ l~- , . . ~ _ _ - . - - Coua ry o{ }~urth~ . Country of birt~ ,r.~:r'.Z " ~ , ~ hum~ier of Num~ier of mari~i~ ~L....-~~'~ m~ma~ . . , : . , _ . _ : I L#?se ast to ~io7 lcai!~~- 6eea lnise~ei wlti~ aul I Lsn ~not twi" m~ tie~M!.~~ ~ u~ " ~ea~a/. itsesse,. oc :ft I la~`e `leea istect~ ~wet~sl +dise~sp. ?n~+e~; iiMa-:a~ ~ ~fE61s f~~ ~Ye~s I 6s~e ~sd a isierator! t~_wit~fa .~lthla 1~e ~~rs ~~~te IW s tb~t' ~ _ -thsE.*eeNd>t~rlci ~ tbs~ I ua:tiow:~ ~ram ' tLst perbi~~~:-fl~r`.~in# h~e~ ° . ~ ~ ~ - faftCt~os ~ s~~a~ii.iYes~s:-'~ - _ ieeiio~i.lF~sm:s~7 sue~ ~disesee., _ _ _ _ ~ _ : ~ ; . : : . . . . _ • _ . ; . ` . Former_ ~?-de or .~n~,c~ - < ; , ~ l ormer husliand flr .~uebands ~ - li~i r~desc~ K . _ : livmg or dead:_ ~ . , : . : ng o . _ . _ _ ~ Is applicapt ~+_divorced: ~o:n . ~ Is applicant ~ divorced _pei~ean - _ _ . If so, -~he~ and w hei~e and i~ainst R~hom di~ orce N so, n fl@#1 3}II(~: lV~1P.fE.'' aIli~ AgA1D8t ~N110I[I " d1 VE1lCC w_ . or di~•arCes a~re grnnteci , . _ . ; : . , c?r-dii orcr. ~~rm granted. - . ; . . . . _ _ . . . _ _ _ : . . I declare ttrAt no legal impedimet~t exi~ts i?s to m~- I declare that ao teg~l impediment ei~ata ae to m} A right to enter into f}ie marriage state. right to enter inf,o f,h~ marri~ge s~s#e. ~ . ~~'Fi;TL'ZFi~DD1iE58 reocer pe.e ~sx!?c! ru~rceB eunsa9s sner m.r*lase u k,.,n) ; ~ L ~r' _ ~ _ - ~ ~-~c.~,,a, ~ . . . . . ~ . . . ,.eree~ :darr~r~ _ cc~~~, tewo or ?illsie) (~tat~) ~ ~ E: ~ :_~°:S.