To the SECRETARY OF IOWA STATE BOARD OF HEALTH
Return of Marriages in the County of Lee
For the Fiscal Year Ending, June 30, 1916
Page 16 stamped number 56-351

Entry Number: 7

First column
1. No. of License: 10.448
2. Date of License: Feb 28, 1916

Groom’s information
Second column
1. By whom affidavit, if any, is made: H. D. Laewenstein
2. By whom consent to marriage is given:
Third column
3. Full Name of Groom: John B. Smith
4. Place of Residence: Wyaconda, MO.
5. Occupation: Laborer
Forth column
6. Groom’s age next birthday: years 40
7. Color: White
8. Race: (Blank)
9. No. of Groom’s Marriage: First
Fifth column
10. Groom’s place of birth: Clark Co. MO.
11. Groom’s father’s name: James Smith
12. Groom’s mother’s maiden name: Mary Johnson

Bride information
Sixth column
13. Full Name of bride: Lucy Frances Emery
14. Bride’s maiden name if a widow:
15. Bride’s place of residence: Paloma, Ill.
Seventh column
16. Bride’s age next birthday: years 27
17. Color: white
18. Race: (blank)
19. No. of bride’s marriage. First
Eighth column
20. Bride’s place of birth: Adams co. Ill.
21. Bride’s father’s full name: Geo. Mack Emery
22. Brid’s mother’s full maiden name: Laura Ann Barry
ninth column
23. Where and when married: Keokuk, Iowa, Feb 28, 1916
24. Witnesses: H. D. Laewenstein
25. By whom married, name and office: Jas S. Burrows, J. P.
Tenth column (Not used on record I check)
1. Date of return:
2. When registered: