Whereas <groom> of <groom's city> and <groom's state>,
son of <groom's father> and <groom's mother>,
and <bride> of <bride's city> and <bride's state>,
daughter of <bride's father> and <bride's mother>,
having declared their intentions of marriage with each other
to the <meeting house name>
monthly meeting of the Religious Society of Friends
held at <meeting house city>, <meeting house state>,
their proposed marriage was allowed by that Meeting.
Now this is to certify to whom it may concern,
that for the accomplishment of their intentions,
this <day> day of <month>, in the year of our Lord <year>, they,
<groom> and <wife>,
appeared in a meeting for worship of the Religious Society of Friends,
held at <meeting house city>, <meeting house state>,
and <groom>, taking <bride> by the hand,
did on this solemn occasion, declare
that he took her, <bride>, to be his wife,
promising with Divine assistance to be unto her
a loving and faithful husband so long as they both shall live,
and then, in the same assemble
<bride> did in like manner declare that she took him,
<groom>, to be her husband,
promising with Divine assistance to be unto him
a loving and faithful wife so long as they both
shall live. And moreover, they, <groom> and <bride>,
did as further confirmation thereof,
then and there, to this certificate set their hands.