| First name: Timothy |
First name: Holly |
| Middle name: John |
Middle name: Anne |
| Last name: Andersen |
Last name: Ruzicka |
| Age: 25 |
Age: 22 |
| Address: Rt 1 Box 47A |
Address: Rt 2 Box 86 |
| Within city limits: No |
Within city limits: No |
| City: Winnetoon |
City: Verdigre |
| State: NE |
State: NE |
| ZIP Code: 68789 |
ZIP Code: 68783 |
| County: Knox |
County: Knox |
| Occupation: Student |
Occupation: Student |
| Birthplace: Creighton, Nebraska |
Birthplace: Creighton, Nebraska |
| Birth date: 12 August 1969 |
Birth date: 27 October 1971 |
| Father: Chester A Andersen |
Father: Willard E Ruzicka |
| Father’s birth place: Creighton, Nebraska |
Father’s birth place: Lynch, Nebraska |
| Mother: Kitty C Harper |
Mother: Denise K Vesely |
| Mother’s birth place: Cedar Falls, Iowa |
Mother’s birth place: Lynch, Nebraska |
| Number of marriage: First |
Number of marriage: First |
| Completed high school: 12 |
Completed high school: 12 |
| College: 3 |
College: 4 |
| Marriage ended why: |
Marriage ended why: |
| Marriage end date: |
Marriage end date: |
| Race: White |
Race: White |
| Fee: Y |
| Staff: el |
| Marriage date: 25 June 1994 |
| License ID: 895 |