Full name groom -

Full maiden name bride -
(Please list any other name bride may have used)

Month, day, year marriage -

For what purpose is this record to be used?

If this is not your marriage record, how are you related to the persons listed on the record?

WARNING: Section 71-649, Nebraska Revised Statutes: It is a felony to obtain, possess, use, sell, furnish, or attempt to obtain any vital record for purpose of deception.

Cost of certified copy - $5.00
Enclose a self-addressed stamped envelope.