| First name: Charles |
First name: Amy |
| Middle name: Theodore |
Middle name: Suzanne |
| Last name: Carlsen |
Last name: Van Bloom |
| Age: 24 |
Age: 23 |
| Address: 5132 William Avenue |
Address: 5132 William Avenue |
| Within city limits: Yes |
Within city limits: Yes |
| City: Edina |
City: Edina |
| State: MN |
State: MN |
| ZIP Code: 55436 |
ZIP Code: 55436 |
| County: Hennipen |
County: Hennipen |
| Occupation: Manager |
Occupation: Account Executive |
| Birthplace: Robinsdale, Minnesota |
Birthplace: Lincoln, Nebraska |
| Birth date: 17 January 1974 |
Birth date: 07 September 1975 |
| Father: Charles W Carlsen |
Father: Jon H Van Bloom |
| Father’s birth place: Minneapolis, Minnesota |
Father’s birth place: Jamestown, New York |
| Mother: Mary M Corcoran |
Mother: Ann M Nordstrom |
| Mother’s birth place: Minneapolis, Minnesota |
Mother’s birth place: Des Moines, Iowa |
| Number of marriage: First |
Number of marriage: First |
| Completed high school: 12 |
Completed high school: 12 |
| College: 4 |
College: 4 |
| Marriage ended why: |
Marriage ended why: |
| Marriage end date: |
Marriage end date: |
| Race: White |
Race: White |
| Fee: Y |
| Staff: el |
| Marriage date: 19 September 1998 |
| License ID: 1739 |