Derek E. Larsen
— and —
Stephanie D. Kollars

08 September 2001



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First name: Derek First name: Stephanie
Middle name: E. Middle name: D.
Last name: Larsen Last name: Kollars
Age: 25 Age: 26
Address: 2045 SW Ferry Street Address: 2045 SW Ferry Street
Within city limits: Yes Within city limits: Yes
City: Albany City: Albany
State: OR State: OR
ZIP Code: 97321 ZIP Code: 97321
County: Linn County: Linn
Occupation: Structural Engineer Occupation: Public Service Rep
Birthplace: Enumclaw, Washington Birthplace: Osmond, Nebraska
Birth date: 13 May 1976 Birth date: 16 June 1975
Father: David Larsen Father: Kevin Kollars
Father’s birth place: Myrtle Point, Oregon Father’s birth place: Yankton, South Dakota
Mother: Sandy Leibelt Mother: Billie Sassaman
Mother’s birth place: Marshfield, Wisconsin Mother’s birth place: Coleridge, Nebraska
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: 15
Staff: mk
Marriage date: 08 September 2001
License ID: 1667