| First name: Timothy | First name: Jenilee | 
| Middle name: A. | Middle name: J. | 
| Last name: Negley | Last name: Wortman | 
| Age: 23 | Age: 20 | 
| Address: 12101 S 54th Street | Address: 52547 858 Road | 
| Within city limits: No | Within city limits: No | 
| City: Roca | City: Neligh | 
| State: NE | State: NE | 
| ZIP Code: 68430 | ZIP Code: 68756 | 
| County: Lancaster | County: Antelope | 
| Occupation: Construction | Occupation: Student | 
| Birthplace: Omaha, NE | Birthplace: Neligh, NE | 
| Birth date: 01 December 1979 | Birth date: 16 October 1982 | 
| Father: Walter S Negley | Father: LeRoy J Wortman | 
| Fathers birth place: Lincoln, NE | Fathers birth place: Carroll, IA | 
| Mother: Connie M Hansen | Mother: Gail I Pellatz | 
| Mothers birth place: Inglewood, CA | Mothers birth place: Neligh, NE | 
| 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: el | 
| Marriage date: 05 July 2003 | 
| License ID: 828 |