STATE OF KANSAS
DEPARTMENT OF HEALTH AND ENVIRONMENT
Office of Vital Statistics
License No. 21-MA-13
Marriage License
State File number
1. BRIDE LEGAL NAME – FIRST MIDDLE LAST/SUFFIX
BRIANA JO DURHAM
2. LAST NAME PRIOR TO FIRST MARRIAGE (if different) 3. DATE OF BIRTH (Month, Day, Year) 4. BIRTHPLACE (State or Foreign Country)
DURHAM 10/04/1984 KANSAS
5. RESIDENCE – STATE OR FOREIGN COUNTRY 6. COUNTY OR PROVINCE 7. CITY OR TOWN
KANSAS THOMAS COLBY
8. FATHER/PARENT NAME PRIOR TO FIRST MARRIAGE 9. BIRTHPLACE (State or 10. MOTHER/PARENT NAME PRIOR TO FIRST MARRIAGE 11 BIRTHPLACE (State or
(First, Middle, Last) Foreign Country) (First, Middle, Last) Foreign Country)
DURHAM KAREN SUE DECHANT KANSAS
12. GROOM LEGAL NAME- FIRST MIDDLE LAST
RICKY LEE KOEL
13. LAST NAME PRIOR TO FIRST MARRIAGE (If different) 14. DATE OF BIRTH (Month, Day, Year) 15. BIRTHPLACE (State or Foreign Country)
KOEL 12/18/1976 KANSAS
16. RESIDENCE – STATE OR FOREIGN COUNTRY 17. COUNTY OR PROVINCE 18. CITY OR TOWN
KANSAS THOMAS COLBY
19. FATHER/PARENT NAME PRIOR TO FIRST MARRIAGE 20. BIRTHPLACE (State or 21. MOTHER/PARENT NAME PRIOR TO FIRST MARRIAGE 22. BIRTHPLACE (State or
(First, Middle, Last) Foreign Country) (First, Middle, Last) Foreign Country)
JOSEPH EDWARD VOLK KANSAS DEBRA KAY EDIGER KANSAS
23a. BRIDE MOTHER/PARENT I OR GUARDIAN CONSENTING (If applicable, type or print) 23c. GROOM MOTHER/PARENT I OR GUARDIAN CONSENTING (If applicable, type or print)
23b. BRIDE FATHER/PARENT II OR GUARDIAN CONSENTING (If applicable, type or print) 23d. GROOM FATHER/PARENT II OR GUARDIAN CONSENTING (If applicable, type or print)
23e. HAVE ALL LIVING PARENT(S) OR GUARDIAN(S) CONSENTED?
BRIDE Yes No Emancipated Parent(s) Deceased GROOM Yes No Emancipated Parent(s) Deceased
23f. NAME OF CONSENTING JUDGE (If applicable, please type or print)
Completed marriage license is to be returned to Issuing District Court within 10 days after marriage:
24. DISTRICT COURT OF ISSUANCE 25. DATE LICENSE ISSUED (Month, Day, Year) 26. EXPIRATION DATE (Month, Day, Year)
THOMAS 04/22/2021 10/22/2021
27. ISSUING OFFICIAL 28. TITLE OF ISSUING OFFICIAL 29. DATE RECEIVED BY COURT OFFICIAL
KATELYN KINNE DEPUTY CLERK
This License Authorizes the Marriage in This State of the Parties Named Above By Any Person Duly Authorized to Perform a Marriage Ceremony Under the Laws of the State of Kansas.
30. I CERTIFY THAT THE ABOVE NAMED PERSONS 31. WHERE MARRIED – COUNTY 32. CITY OR TOWN
WERE MARRIED ON: (Month, Day, Year)
33. SIGNATURE OF PERSON PERFORMING CEREMONY 34. NAME AND PHONE NO. OF PERSON PERFORMING CEREMONY (Please type or print) 35. TITLE
TOM PEYTON PREACHER
36. ADDRESS OF PERSON PERFORMING CEREMONY (Street and No. or Rural Route, City or Town, State, Zip Code)
420 MAIN, MINGO, KANSAS 67701
37. WITNESS NAME TO CEREMONY (Print or Type) 38. WITNESS NAME TO CEREMONY (Print or Type)
Designated new legal name pursuant to K.S.A. 23-2506. (If applicable)
39. BRIDE NAME – FIRST MIDDLE LAST
BARBIE JOE KOEL
40. GROOM NAME – FIRST MIDDLE LAST
VS229 SML Rev. 11/12/2014
