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This certifies that
[groom]
of [groom's birthplace city] State of [groom's birthplace state]
and
[bride]
of [bride's birthplace city] State of [bride's birthplace state]
Were by me
United in Matrimony
according to the Ordinance of God
and the laws of the state of [state]
at [city and state of ceremony location]
on the [day] day of [month]
in the year of our Lord [year]
Witnesses
By
