| First name: Michael |
First name: Amy |
| Middle name: J. |
Middle name: S. |
| Last name: Kozak |
Last name: Shedlosky |
| Age: 27 |
Age: 29 |
| Address: 14021 Jamestown |
Address: 2825 No 47th Street #4 |
| Within city limits: Yes |
Within city limits: Yes |
| City: Waverly |
City: Lincoln |
| State: NE |
State: NE |
| ZIP Code: 68462 |
ZIP Code: 68504 |
| County: Lancaster |
County: Lancaster |
| Occupation: Teacher |
Occupation: Teacher |
| Birthplace: Crete, Nebraska |
Birthplace: Lincoln, Nebraska |
| Birth date: 10 September 1973 |
Birth date: 29 February 1972 |
| Father: Fred Kozak |
Father: Gerald Shedlosky |
| Father’s birth place: Wilber, Nebraska |
Father’s birth place: Manville, New Jersey |
| Mother: Joann Henning |
Mother: Sharon Grant |
| Mother’s birth place: Crete, Nebraska |
Mother’s birth place: Raymond, Nebraska |
| Number of marriage: First |
Number of marriage: First |
| Completed high school: 12 |
Completed high school: 12 |
| College: 5+ |
College: 5 |
| Marriage ended why: |
Marriage ended why: |
| Marriage end date: |
Marriage end date: |
| Race: White |
Race: White |
| Fee: 15 |
| Staff: mk |
| Marriage date: 28 April 2001 |
| License ID: 623 |