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This certifies
that
Mr. [groom]
of [groom's birthplace]
and
M. [bride]
of [bride's birthplace]
Were united by me in
Holy Matrimony
according to the ordinance of God and the
laws of [state]
at [city & state of ceremony location]
on the [day]
day of [month]
in the year of our Lord [year]
Witnesses