No Value: Shawna Lawrence VS Shawn Lawrence

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                                                 REPORT OF DIVORCE, ANNULMENT OR DISSOLUTION OF MARRIAGE * FORM 3907

             de
(Georgie Department
              of Puli Heth
                                                                                                     (REVISED 12/2016)




                             PLEASE PRINT OR TYPE ALL INFORMATION LEGIBLY AND CORRECTLY BELOW.




             VIL ACTION NUMBER                                            DATE DECREE GRANTED (MONTH, DAY, YEAR)                ‘COUNTY DECREE GRANTED
                                                                                                                                   DEKALB
             FIRST NAME OF PARTY 1                          MIDDLE NAME                              TAST NAME                                TAST NAME AT BIRTH
                 SHAWNA                                       A            A                         LAWRENCE                                 HUNTER
             ‘DATE OF BIRTH (MONTH, DAY, VEAR)                            ‘COUNTY OF RESIDENCE                                  NUMBER OF THIS MARRIAGE (FIRST, SECOND, ETC)
                 1/15/1988                                                     DEKALB                                            FIRS
                                                            MIDDLE NAME                              TAST NAME                                TAST NAME AT BIRTH
              SHAWN”                                                                                  LAWRENCE                                 LAWRENCE
              DATE OF BIRTH (MONTH, DAY, YEAR)                                                                                  Fis & 2 ‘MARRIAGE (FIRST, SECOND, ETC)
                 12/11/1988                                               BEKALB
              ‘SPECIFY GROUNDS FOR DIVORCE (19-5-3, OCGA)                                            NUMBER OF CHILDREN LESS THAN 18 AFFECTED BY THIS DECREE
               Irretrievably broken                                                                        NONE

            This above Report may be reproduced by use of a computer. However, the finished Report
            must be a close reproduction of the original, and prior review and approval must be obtained
            from the State Registrar before use. (31-10-7, 0.C.G.A.)

                                            31-10-22. Record of divorce, dissolutions, and annulments.

            (a) A record of each divorce, dissolution of marriage, or annulment granted by any court of
            competent jurisdiction in this state shall be filed by the clerk of the court with the department
            and shall be registered if it has been completed and filed in accordance with this Code section.
            The record shall be prepared by the petitioner or the petitioner’s legal representative on a form
            prescribed and furnished by the state registrar and shall be presented to the clerk of the court
            with the petition. In all cases, the completed record shall be a prerequisite to the granting of
            the final decree.

            (b) The clerk of the superior court shall complete and forward to the department on or before
            the tenth day of each calendar month the records of each divorce, dissolution of marriage, or
            annulment decree granted during the preceding calendar month.




                                   PLEASE ADDRESS ALL CORRESPONDENCE TO THE ADDRESS BELOW.
             STATE OFFICE OF VITAL RECORDS | 1680 PHOENIX BLVD. SUITE 100, ATLANTA, GA 30349 | PHONE 404.679.4702