| First name: Robert |
First name: Marie |
| Middle name: David |
Middle name: Elizabeth |
| Last name: Daniels |
Last name: Bloom |
| Age: 42 |
Age: 40 |
| Address: 10500 S Parkside #11 |
Address: 10500 S Parkside #11 |
| Within city limits: Yes |
Within city limits: Yes |
| City: Chicago Ridge |
City: Chicago Ridge |
| State: IL |
State: IL |
| ZIP Code: 60415 |
ZIP Code: 60415 |
| County: Cook |
County: Cook |
| Occupation: Mechanic |
Occupation: Transcript Analyst |
| Birthplace: Gary, Indiana |
Birthplace: Lincoln, Nebraska |
| Birth date: 13 December 1953 |
Birth date: 19 August 1955 |
| Father: Robert Samuels Daniels |
Father: John Francis Bloom |
| Father’s birth place: Halls, Tennessee |
Father’s birth place: Spalding, Nebraska |
| Mother: Marie Elizabath Bloom |
Mother: Elizabeth Imelda Kobza |
| Mother’s birth place: Halls, Tennessee |
Mother’s birth place: Brainard, Nebraska |
| Number of marriage: Second |
Number of marriage: Second |
| Completed high school: 12 |
Completed high school: 12 |
| College: |
College: 4 |
| Marriage ended why: Dissolution |
Marriage ended why: Dissolution |
| Marriage end date: 09 101990 |
Marriage end date: 07 091979 |
| Race: White |
Race: White |
| Fee: y |
| Staff: rc |
| Marriage date: 01 September 1996 |
| License ID: 905 |