Marriage Kiosk

Party 1

Spouse First Name	Spouse Middle Name
Spouse Last Name	Spouse Suffix Name
Spouse Given Name
Race (Race)	Spouse SSN
--Select One-- AFRICAN AMERICAN ALASKAN NATIVE AMERICAN INDIAN ASIAN BLACK CAUCASIAN HISPANIC MIDDLE EASTERN MIXED RACE PACIFIC ISLANDER REFUSE TO ANSWER
Spouse Street Address	Spouse City
Spouse State	Spouse Zip Code
Spouse County	Spouse Phone
Spouse Date of Birth	Spouse Birthplace
Spouse Ever Married	Number of This Marriage
Spouse Last Marriage Ended Date	Spouse Marriage Ended
	--Select One-- ANNULMENT DEATH DIVORCE