EFTA00268466.pdf
dataset_9 pdf 15.1 MB • Feb 3, 2026 • 70 pages
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Part D Marriage and separation
12. Date and place of nuaniage'ton your
Date 3D / 3 / icielb *
marriage certificate (day/ month / year)
Alp E F - bizarr/GI Town/city
County
13. Full names of both parties as they appear on Husband Oetafteb$ cserms Mt 6‘eat-'‘i Cr
the marriage certificate
Wife *5-Fic-civeLicie cecta Pet ace
/ month / year) tk Date ) / 3 / 2CC177
15a. At the date of separation, did you regard the Husband gYes 0 No
marriage as over? Wife EflYes 0 No
Page F - Awns,la
15b. If you answered no to question 15(a), on Husband Date / /
what date did you regard the marriage as Wife Date / /
over? (day/ month / year)
16a. Since the date of separation, have you and ❑ Yes gNo
your spouse lived together in the same
home but not as husband and wife?
16b. If you answered yes to question 16(a), gin From / /
dates of each period you and your spouse to / /
lived together in the same home after From / /
separation. (day/ month / year) to / /
If relying on any period outlined here as part of the
12 mom separation, go to Page F — Dime IGt
17a. Since the date of separation, have you and 0 Yes ErNo
your spouse lived together as husband and
wife?
17b. If you answered yes to question 17(a), give From / /
dates of each period you and your spouse to / /
lived together as husband and wife. From / /
(day/ month / year)
If relying on any period outlined here as part of the to / /
12 months separation, go to Par G — DitcereIGt
18. Do you think it is likely that you and your 0 Yes El/No
spouse will liw together again as husband
and wife?
If yes, go to Page G -Dine1Gt
19. At the date of filing this application, is it less ❑ Yes ["No
than two years since you married?
If yes, go to Page G —Dizave
EFTA00268481
YORKE AND MID NO
8 February 2016
MN: 68 705 101 048
Jacqueline Pearce
Dear Jacqueline
"The Specialist Medical Centre" Projec)
Further to your request for names o volved in providing feedback associated with "The Specialist
Medical Centre" during the perk) e advise that the following officers were involved:
4 ichael Fotherstonhaugh — Business Adviser
rotg cmce — tn7511eDtivErtcrpriefflifficer
Jarred Davies — Workforce Development Officer
Terry Reichelt — Economic Development Officer
Should you require further information please do not hesitate to contact us.
Yours sincerely
Kelly-Anne Saffin
Chief Executive Officer
S Local Government Partners
Om a Gast Vatic Cowell I Clarke Courta of lawny West
Okada Courted of lharat Remarkable I Northern Areas Coma
Dintent Cotentl of Peterborough I W•kofidd P•tda•I CPPPcP
site knatiadve at Distrkt Comer of Yoko Peninsula I Reennal Council of Gorier
Diatrkt Council of the Gyre Cant I Pod Tide fReCnal Can
Government ClarletCouncl of °Nemo [whew:
An Australian Government Initiative of South Australia
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