Cody S. Henrickson
— and —
Mandy P. Mohr

30 September 2006



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First name: Cody First name: Mandy
Middle name: S. Middle name: P.
Last name: Henrickson Last name: Mohr
Age: 24 Age: 24
Address: 2802 Dover Drive Address: 15603 N 2nd Street
Within city limits: Yes Within city limits: Yes
City: Norfolk City: Bennington
State: NE State: NE
ZIP Code: 68701 ZIP Code: 68007
County: Madison County: Douglas
Occupation: Sales Rep Occupation: Designer
Birthplace: Norfolk, Ne Birthplace: Omaha, NE
Birth date: 09 September 1981 Birth date: 11 December 1981
Father: Steven D Henrickson Father: Van D Mohr
Father’s birth place: Norfolk, NE Father’s birth place: Omaha, NE
Mother: Pamela J Uttecht Mother: Nancy K Backhuus
Mother’s birth place: Nofolk, NE Mother’s birth place: Omaha, NE
Number of marriage: First Number of marriage: First
Completed high school: 12 Completed high school: 12
College: 3 College: 5
Marriage ended why: Marriage ended why:
Marriage end date: Marriage end date:
Race: White Race: White
Fee: 15
Staff: el
Marriage date: 30 September 2006
License ID: 1248