| First name: Daniel |
First name: Jana |
| Middle name: A. |
Middle name: J. |
| Last name: Kubik |
Last name: Jacobsen |
| Age: 25 |
Age: 24 |
| Address: Box 82 |
Address: Box 82 |
| Within city limits: No |
Within city limits: No |
| City: Weston |
City: Weston |
| State: NE |
State: NE |
| ZIP Code: 68070 |
ZIP Code: 68070 |
| County: Saunders |
County: Saunders |
| Occupation: Welder |
Occupation: Veterinary Technician |
| Birthplace: Wahoo, Nebraska |
Birthplace: Norfolk, Nebraska |
| Birth date: 28 March 1966 |
Birth date: 09 January 1967 |
| Father: Alvin E. Kubik |
Father: Van F. Jacobsen |
| Father’s birth place: Wahoo, Nebraska |
Father’s birth place: Neligh, Nebraska |
| Mother: Jeanette Hain |
Mother: Gwen E. Evans |
| Mother’s birth place: David City, Nebraska |
Mother’s birth place: Colorado |
| Number of marriage: First |
Number of marriage: First |
| Completed high school: 12 |
Completed high school: 12 |
| College: |
College: 2 |
| Marriage ended why: |
Marriage ended why: |
| Marriage end date: |
Marriage end date: |
| Race: White |
Race: White |
| Fee: Y |
| Staff: SS |
| Marriage date: 20 July 1991 |
| License ID: 1088 |