| First name: Larry |
First name: Rebecca |
| Middle name: James |
Middle name: Rene |
| Last name: Schrock |
Last name: Severson |
| Age: 22 |
Age: 21 |
| Address: 710 Colorado Southwest |
Address: 208 8th Street Southwest |
| Within city limits: Yes |
Within city limits: Yes |
| City: Orange City |
City: Orange City |
| State: IA |
State: IA |
| ZIP Code: 51041 |
ZIP Code: 51041 |
| County: Sioux |
County: Sioux |
| Occupation: Factory Worker |
Occupation: Student |
| Birthplace: Des Moines, IA |
Birthplace: Lincoln, NE |
| Birth date: 26 January 1981 |
Birth date: 06 August 1982 |
| Father: Jerrold Schrock |
Father: Larry Severson |
| Father’s birth place: Goshen, IN |
Father’s birth place: Emerson, NE |
| Mother: Lana Myers |
Mother: Bonita Bowder |
| Mother’s birth place: Des Moines, IA |
Mother’s birth place: Yankton, SD |
| Number of marriage: First |
Number of marriage: First |
| Completed high school: 12 |
Completed high school: 12 |
| College: 4 |
College: 3+ |
| Marriage ended why: |
Marriage ended why: |
| Marriage end date: |
Marriage end date: |
| Race: White |
Race: White |
| Fee: 15 |
| Staff: at |
| Marriage date: 05 June 2004 |
| License ID: 2234 |