| First name: Chad |
First name: Carolyn |
| Middle name: Raymond |
Middle name: Anne |
| Last name: Collett |
Last name: Masek |
| Age: 20 |
Age: 20 |
| Address: 3501 Cedar Ridge Road |
Address: 4711 Old Cheney Rd #24 |
| Within city limits: No |
Within city limits: Yes |
| City: Norfolk |
City: Lincoln |
| State: NE |
State: NE |
| ZIP Code: 68701 |
ZIP Code: 68516 |
| County: Madison |
County: Lancaster |
| Occupation: Student |
Occupation: Student/Receptionist |
| Birthplace: Akron, Ohio |
Birthplace: West Point, Nebraska |
| Birth date: 19 May 1973 |
Birth date: 01 July 1972 |
| Father: Keith E Collett |
Father: David C Masek |
| Father’s birth place: Akron, Ohio |
Father’s birth place: Belle Fourche, South Dakota |
| Mother: Lynette E Kistler |
Mother: Susan J Reese |
| Mother’s birth place: Warren, Ohio |
Mother’s birth place: Lakewood, New Jersey |
| Number of marriage: First |
Number of marriage: First |
| Completed high school: 12 |
Completed high school: 12 |
| College: 2 |
College: 1 |
| Marriage ended why: |
Marriage ended why: |
| Marriage end date: |
Marriage end date: |
| Race: White |
Race: White |
| Fee: Y |
| Staff: mk |
| Marriage date: 26 June 1993 |
| License ID: 896 |