| Filed On | 12/2/2021 |
|---|---|
| File Number | 370141 |
| Type | Self Uniting |
| Applicant 1 | MADISON NICKLE TILLMAN |
| Applicant 2 | EIRINI SOUROULIDI |
| County of Issuance | MONTGOMERY |
| Date Filed | 12/2/2021 |
| Filed By | DBRENNAN |
| Date Issued | 12/5/2021 |
| Issued By | DBRENNAN |
| Officiant Name | ALAYNA TILLMAN & KEELEY ARDMAN DESALVO |
| Officiant Title | WITNESSES |
| Officiant Denomination | SELF UNITED |
| Officiant Address | 191 SPURWINK LN HOT SPRING AR 71913 |
| Officiant Phone | |
| Date Duplicate Returned | 12/27/2021 |
| Received By | I-Plawson |
| County Married | MONTGOMERY |
| Where Married | HAVERFORD PA |
| Date Married | 12/11/2021 |
| Both Speak English? | Yes |
| Interpreter Name | |
| Translate To | |
| Translate Date | |
| Clerk | |
| Issued Count | 0 |
| Micro Film | |
| Both Over 18? | Yes |
| Guardian Present? | No |
| Military? | No |
| Waiver? | No |
| Stipulation? | No |
| Outside Prohibited Consanguinity | No |
| Legacy | No |
| Related File No. |