| First name: Jason |
First name: Macy |
| Middle name: J. |
Middle name: J. |
| Last name: Thelen |
Last name: Black |
| Age: 24 |
Age: 24 |
| Address: 920 South 41st Street |
Address: 920 South 41st Street |
| Within city limits: Yes |
Within city limits: Yes |
| City: Lincoln |
City: Lincoln |
| State: NE |
State: NE |
| ZIP Code: 68510 |
ZIP Code: 68510 |
| County: Lancaster |
County: Lancaster |
| Occupation: Student |
Occupation: Certified Surgical Technologist |
| Birthplace: Columbus, NE |
Birthplace: Columbus, NE |
| Birth date: 10 November 1980 |
Birth date: 11 April 1981 |
| Father: Unknown |
Father: Scott Black |
| Fathers birth place: Unknown |
Fathers birth place: Minot, ND |
| Mother: Barbara Wilson |
Mother: Teresa Rimpley |
| Mothers birth place: Colorado Springs, CO |
Mothers birth place: Lexington, 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: at |
| Marriage date: 08 October 2005 |
| License ID: 1225 |