| First name: Chad |
First name: Kori |
| Middle name: W. |
Middle name: L. |
| Last name: Belton |
Last name: Tietz |
| Age: 26 |
Age: 25 |
| Address: 6960 Heatherwood Drive |
Address: 16945 W 67th Street |
| Within city limits: Yes |
Within city limits: Yes |
| City: Shawnee |
City: Shawnee |
| State: KS |
State: KS |
| ZIP Code: 66217 |
ZIP Code: 66217 |
| County: Johnson |
County: Johnson |
| Occupation: Clincial Research Associate |
Occupation: Claims Adjuster |
| Birthplace: Lyons, KS |
Birthplace: Cheyenne, WY |
| Birth date: 06 June 1978 |
Birth date: 28 November 1978 |
| Father: Jerry R Belton |
Father: Stuart D Tietz |
| Father’s birth place: San Diego, CA |
Father’s birth place: West Point, NE |
| Mother: EvaJo Hudson |
Mother: Cheri L Heiden |
| Mother’s birth place: Sterling, KS |
Mother’s birth place: Des Moines, IA |
| Number of marriage: First |
Number of marriage: First |
| Completed high school: 12 |
Completed high school: 12 |
| College: 5+ |
College: 5 |
| Marriage ended why: |
Marriage ended why: |
| Marriage end date: |
Marriage end date: |
| Race: White |
Race: White |
| Fee: 15 |
| Staff: el |
| Marriage date: 15 January 2005 |
| License ID: 1578 |