Vitaly Mikhailovich

surname
Citizen __________ Nevolin ____________

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 ____

M.P. Head of department (bureau)
vital records

I-OM No. 371014