Jerry A. Tadlock
— and —
Miranda R. Ekis

07 May 2003



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First name: Jerry First name: Miranda
Middle name: A. Middle name: R.
Last name: Tadlock Last name: Ekis
Age: 27 Age: 23
Address: 12643 N 38th Avenue Address: 134 N Lane
Within city limits: Yes Within city limits: Yes
City: Phoenix City: Grand Island
State: AZ State: NE
ZIP Code: 85029 ZIP Code: 68803
County: Maricopa County: Hall
Occupation: Carpenter Occupation: Homemaker
Birthplace: Madesto, CA Birthplace: Fairbury, NE
Birth date: 01 August 1975 Birth date: 05 October 1979
Father: Jerry A Tadlock Sr Father: John W Goosman
Father’s birth place: Phoenix, AZ Father’s birth place: Unknown
Mother: Cheryl R Keeker Mother: Roberta R Ekis
Mother’s birth place: Phoenix, AZ Mother’s birth place: Creighton, NE
Number of marriage: First Number of marriage: First
Completed high school: 12 Completed high school: 10
College: 0 College: 0
Marriage ended why: Marriage ended why:
Marriage end date: Marriage end date:
Race: White Race: White
Fee: 15
Staff: el
Marriage date: 07 May 2003
License ID: 717