This is to certify that the undersigned, a . . . . . ., by authority of a license bearing date the . . . . day of . . . . . . A.D. (year) . . . ., and issued by the County auditor of the county of . . . . . ., did, on the . . . . day of . . . . . . A.D. (year) . . . ., at . . . . . . in this county and state, join in
In Testimony Whereof, witness the signatures of the parties to said ceremony, the witnesses and myself, this . . . . day of . . . . . ., A.D. (year) . . . .