| First name: Noah |
First name: Brandy |
| Middle name: A. |
Middle name: Nicole |
| Last name: Surratt |
Last name: Clark |
| Age: 21 |
Age: 20 |
| Address: 13653 Gragston Circle |
Address: 5340 Saylor Street |
| Within city limits: Yes |
Within city limits: Yes |
| City: Tampa |
City: Lincoln |
| State: FL |
State: NE |
| ZIP Code: 33613 |
ZIP Code: 68506 |
| County: Hillsborough |
County: Lancaster |
| Occupation: Student |
Occupation: Student |
| Birthplace: Denver, C |
Birthplace: Hurst, TX |
| Birth date: 14 August 1981 |
Birth date: 14 August 1982 |
| Father: Rick Surratt |
Father: William Clark |
| Father’s birth place: Jacksonville, IL |
Father’s birth place: Albion, NE |
| Mother: Teresita Fabiano |
Mother: Rebecca Daly |
| Mother’s birth place: Nancy, France |
Mother’s birth place: Ogallala, NE |
| Number of marriage: First |
Number of marriage: First |
| Completed high school: 12 |
Completed high school: 12 |
| College: 3 |
College: 2 |
| Marriage ended why: |
Marriage ended why: |
| Marriage end date: |
Marriage end date: |
| Race: White |
Race: White |
| Fee: 15 |
| Staff: at |
| Marriage date: 12 July 2003 |
| License ID: 1247 |