| Filed On | 8/25/2023 |
|---|---|
| File Number | 377371 |
| Type | Self Uniting |
| Applicant 1 | JESSICA CAMERON LOPEZ |
| Applicant 2 | ANTHONY MICHAEL DEROSE |
| County of Issuance | MONTGOMERY |
| Date Filed | 8/25/2023 |
| Filed By | DGROEN |
| Date Issued | 8/28/2023 |
| Issued By | DGROEN |
| Officiant Name | ANTHONY C LOPEZ & MARGARET MARY KREBS |
| Officiant Title | WITNESSES |
| Officiant Denomination | |
| Officiant Address | ACL - 248 AMERICAN DR., RICHBORO, PA 18954 MMK - 108 W BRISTOL RD., SOUTHAMPTON, PA 18966 |
| Officiant Phone | |
| Date Duplicate Returned | 10/27/2023 |
| Received By | DFERGUSON |
| County Married | MONTGOMERY |
| Where Married | HARLEYSVILLE |
| Date Married | 10/20/2023 |
| 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. |