STATE OF NEW YORK
Affidavit for License to Marry
STATE OF NEW YORK
County of Delaware
Town of Hancock
Stephen Barlow
and Carrie Simmons applicants for license for marriage, being
severally sworn, deposed and say, that
to the best of their knowledge
and belief the following statement respectively signed by us is true and
that no legal impe-
diment exist as to the right
of the applicants to enter into the marriage state.
FROM THE GROOM
Full name Stephen Barlow
Color white
Place of residence Sherman
PA.
Age 26
Occupation Laborer
Place of birth Starrucca
PA.
Name of father Chas. Barlow
Country of birth USA
Maiden name of mother Marie
(Gillman)?
Country of birth USA
Number of marriage First |
FROM THE BRIDE
Full name Carrie Simmons
Color White
Place of residence Sherman
PA.
Age 18
Occupation Housework
Place of birth Deposit
Name of father Gilbert
Simmons
Country of birth USA
Maiden name of mother Salie
Burligh (or Burleigh)
Country of birth USA
Number of marriage First |
Stephen Barlow
Carrie
Simmons
GROOM
BRIDE
Subsribed and sworn to me this }
W. G. Mc Grunghan
6th day of Oct. 1910
TOWN CLERK
Place of Registry
NEW YORK STATE DEPARTMENT OF HEALTH
County of Delaware
Bureau of Vital Statistics
City or Town of Hancock
CERTIFICATE AND RECORD OF MARRIAGE
Registered No. 156
I, Lewis G .Carpenter
a Justice of the Peace residing at Hancock
in the county of Delaware and the State of New York
do hereby certify that I did
on this sixth day of October in the year
A. D. 1910 at Hancock in the county of Delaware
and
the State of New York solemnize the
rites of matrimony between Stephen Barlow of
Sherman in the county of Wayne
and the State of Pennsylvania
and Carrie Simmons of Sherman in the county
of Wayne and the State of Pennsylvania in
the presence of Harris M. Kingsbury
and
Albert Carpenter is witnessed and
the license therefore is hereto annexed.
Witness my hand at Hancock in
the county of Delaware this sixth
day of October A. D. 1910
In the presence of
Harris M. Kingsbury
Lewis G .Carpenter
Albert Carpenter
Signature of person performing ceremony |