Fred Wallace
— and —
Stacy Horn

10 October 2003



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First name: Fred First name: Stacy
Middle name: Middle name:
Last name: Wallace Last name: Horn
Age: 29 Age: 29
Address: 307 22nd Street Address: 307 22nd Street
Within city limits: Yes Within city limits: Yes
City: Sioux City City: Sioux City
State: IA State: IA
ZIP Code: 51104 ZIP Code: 51104
County: Woodbury County: Woodbury
Occupation: Supervisor Occupation: Server
Birthplace: Monroe, LA Birthplace: Sheldon, IA
Birth date: 04 April 1974 Birth date: 09 October 1973
Father: Percy Wallace Father: James W Horn
Father’s birth place: Jackson, MS Father’s birth place: Sioux City, IA
Mother: Alma M Moore Mother: Dixie J Peery
Mother’s birth place: New Orleans, LA Mother’s birth place: Seward, NE
Number of marriage: First Number of marriage: First
Completed high school: 12 Completed high school: 12
College: 0 College: 0
Marriage ended why: Marriage ended why:
Marriage end date: Marriage end date:
Race: Black Race: White
Fee: 15
Staff: el
Marriage date: 10 October 2003
License ID: 1872