The Barre daily times. (Barre, Vt.) 1897-1959, 1904-12-31

oeive the sum Of twenty-five cents. to
be paid by the person to whom the GER
tideate is issued.
sec. II. Zach town and city clerk shall,
upon application. Issue to person a mar
riage certificate in the form prescribed
in the following section. and at the same
time shalI enter thereon the names Of the
parties to ahe marriage. All out the blank
as far as practicable. and take and retain
in his ofice copy Of the certificate. and
when the certificate is returned ID his
Office he shall complete the copy to con-
form to the certificate. certifying thereto,
ana such copy shall be al the disposal
Of the groom or bride The applicant for
a marriage certificate shall he recslred TO
sign the declaration Of intention CON
tanned in the certificate.
Sec, IL Marriage certificates shah be
IN the following form:
Margin reserved for binding write
plainly with unfadlng Ink. This is d
permanent record
STATE OF VERMONT
seal
Town or City of...................
Clerks ofice..-.~ia..
Marriage License.
Declaration Of Intention Of Marriage.
Full name Of groom. texpectant) ........
Place Of residence. street....... Mo-.
Town or city............ stste............
color...........
loccupation...... Number Of Marriage y.
Divorced7.~~..s.
Place Of birth Age IN yeara..,..
Fathers name......... Birthplace. ...,..
Mothers name tinaiden) I. Birthplace. go.
Full name Of bride texpectan0 ...........
Maiden name, II widow or divorced.
Place Of residence--street. .,.... No. 49,.
Town Or city.-.....-. state. .........
Number Of marriage. 81. Divorced I. ~.
color.,............. Age in years..,.......
Place Of birth..........
Fathers name................B Birthplace. 5.
Mothers name tmafdenl. Birthplace.
], the expectant groom or bride named
ID the foregoing declaration. hereby Ger
tify that the information given Il correct
to the best Of my knowledge ana belief.
+.+.-......t............
CExpectant groom or bride)
oFFIcE or TOWN OR CRY CLERK.
Vermont ....,.....ls II.
hereby certify that the within named
,.....-...thia day applied for certif-
cate OF marriage. and that true copy
Of the within license and declaration Of
marriage is duly hied in this once.
...,.........s.............
City Clerk.
STATE OF VERMONT.
hereby certify that the within de-
4ssfspsAs ANA sssttssts-sWere joined
in marriage BY me in accordance with
the laws Of the state Of vermont at
....,. this.... day of.,...,.A. y. d..
Attest ...s...,.................
Denomination 81 clergyman.
Residence .......,..,.........
Returned for record. ....,..Is and duly
recorded.
..t.'.'.ss.'....*.s..s'-s'
Town or City Clerk.
Extracts from Law relating to returning
certifcates)
Sec. -. Section 25s7 Vermont Statutes
lie hereby amended By adding thereto the
following words And such written con-
sent shall be attached to the original GER
tlaeate.
Sec a. II town or city clerk fails
10 transmit 70 the secretary Of the state
board Of health the copy Of the returns
of births, marriages and deaths once ii
six months, as provided for in this act,
he shall be hned not less than twenty
dollars.
sec Is. Justices Of the county shan
have concurrent jurisdiction with the
loounty court Or offenses under this act t.
the extent Of ming The respondent hfty
dollars. or may bind him over for trial BY
county court Any states attorney grand
Juror or other public prosecuting oncer
may institute prosecutions for violations
Of this act
Sec 40, All blank certificates ana reports
called for in this act shall be furnished
BY the state, ana paid for as state print
Ing.
Sec IL. No. ia OF the Acts OF 1902 and
al acts Or parts Of acts inconsistent with
this act arc hereby repealed
Sec. is This ac, shall take effect On tho
first day 81 January A. D. 1905
Approved November ie 1904
NO AS
AN AcT TO PROVIDE FOR AN m
DEx ron MARRIAGES. BIRTHS
AND DEATHS
r, e. herehv enacted nv the General Ae