| First name: Jason |
First name: Rachelle |
| Middle name: J. |
Middle name: Marie |
| Last name: Miller |
Last name: Polivka |
| Age: 22 |
Age: 22 |
| Address: 2811 Tierra Drive |
Address: 2811 Tierra Drive |
| Within city limits: Yes |
Within city limits: Yes |
| City: Lincoln |
City: Lincoln |
| State: NE |
State: NE |
| ZIP Code: 68516 |
ZIP Code: 68516 |
| County: Lancaster |
County: Lancaster |
| Occupation: Welder |
Occupation: Student |
| Birthplace: Lincoln, Nebraska |
Birthplace: David City, Nebraska |
| Birth date: 02 December 1973 |
Birth date: 01 May 1974 |
| Father: Dennis J Miller |
Father: Jerome E Polivka |
| Father’s birth place: Wayne, Nebraska |
Father’s birth place: David City, Nebraska |
| Mother: Loretta F Grant |
Mother: Judith A Hotovy |
| Mother’s birth place: Wahoo, Nebraska |
Mother’s birth place: David City, Nebraska |
| Number of marriage: First |
Number of marriage: First |
| Completed high school: 12 |
Completed high school: 12 |
| College: |
College: 3+ |
| Marriage ended why: |
Marriage ended why: |
| Marriage end date: |
Marriage end date: |
| Race: White |
Race: White |
| Fee: Y |
| Staff: el |
| Marriage date: 22 June 1996 |
| License ID: 951 |