A Verified Transcript from the Register of Marriages
A Verified Transcript from the Register of Marriages,
in the _n__n___n of ______________n___n___n____n__n__n_______n___n_
Cou nty of ________________________.______, State of New York:
Date of Marriage. .......... ............. ......... ............... ..... ..... .... ...... ......
Full Name of Husband ............................. ..............................................
His Residence
Age ............
Race or Color if other than White
Occupation ........ .............
Husband's Birthplace
His Father's Name ....... .
His Mother's Maiden Name
Number of Husband's Marriage. .
Full Name
of Wife
1 Maiden
J
Married
Her Residence at Marriage
Age .........
Race or Color if other than White .
Wife's Birthplace
Her Father's Name .
Her Mother's Name .
N umber of Wife's Marriage
Name and Official Position of 1
~
Person Solemnizing the Marriage J
When Registered . .
Registered Number. .
I Hereby Solemnly Attest, That this is a true Transcript from the Public
Register of Marriages as kept in the
County of. ............ ....
Vital Statistics of New York.
and in the State Bureal! of
Dated at ....
the
day of
.19
(Signed) .
Official Title
~
FOR GENEALOGICAL PURPOSES ONLY
A VERIFIED TRANSCRIPT FROM THE REGISTER OF MARRIAGES
District Name
District Number
Local Register No.
GROOM
Age_Occupation
Residing at
Date of Birth
Place of Birth
Mother's Name
Father's Name
BRIDE
Age
New Surname
Residing at
Date of Birth
Father's Name
Place of Birth
Mother's Name
Date of Marriage
Place of Marriage
Clerk:
Date