name, patronymic name
__________ Vitaly Mikhailovich ___________ Born " 29 " __ IV ___________19 59 place of birth __ _g. Satka ________________ ________ Chelyabinsk region ______________ _________________________________________ and citizen __________ Potapova _ __________
name, patronymic name
__________ Tatyana Valentinovna __________ Born “_ 19 _ ” ___ VII ____________19 59 place of birth _ _g. Kirensk_______________ ___ Kirensky district _____________________ ___ Irkutsk region ______________________
Date, month, year
Married _3/ VII ___ 1979 _ third _____
with number and letters
July __ thousand __ nine hundred _ seventy ______ _________ninth year ___________________
what is in the marriage registration book 19 79 ____ VII ______ month __ 3 __ day entry made for No.__ 1887 ___ After marriage, surnames were assigned: husband _________ Nevolin ___________________ wife: _______ Nevolina ____________________
name
Registration location ____ Palace ____________
and location of the civil registry office
I ________Marriage________________ _________ Tomsk ______________________ Date of issue "___" ____________ 19 ____
