| First name: Jeremy |
First name: Kristy |
| Middle name: T. |
Middle name: A. |
| Last name: Belik |
Last name: Thomas |
| Age: 23 |
Age: 20 |
| Address: RR 2 |
Address: 317 North 1st |
| Within city limits: No |
Within city limits: Yes |
| City: Page |
City: O'Neill |
| State: NE |
State: NE |
| ZIP Code: 68766 |
ZIP Code: 68763 |
| County: Holt |
County: Holt |
| Occupation: Student |
Occupation: Student |
| Birthplace: O'Neill NE |
Birthplace: O'Neill NE |
| Birth date: 24 March 1975 |
Birth date: 16 March 1978 |
| Father: Robert Belik |
Father: Russell Thomas |
| Father’s birth place: Nebraska |
Father’s birth place: O'Neill NE |
| Mother: Marlene Geary |
Mother: Judy Smith |
| Mother’s birth place: Nebraska |
Mother’s birth place: Akron IA |
| Number of marriage: First |
Number of marriage: First |
| Completed high school: 12 |
Completed high school: 12 |
| College: 4 |
College: 2 |
| Marriage ended why: |
Marriage ended why: |
| Marriage end date: |
Marriage end date: |
| Race: White |
Race: White |
| Fee: y |
| Staff: at |
| Marriage date: 25 April 1998 |
| License ID: 466 |