his certifies that I have this day, in accordance with the Laws of the State of New-York, UNITED IN MARRIAGE______OF____, AND ____AND____of___, WITNESS my hand and seal at ____this___day of___ in the year of Our Lord one thousand eight hundred and sixty___. Printed and sold by Benton and Andrews, Rochester NY.

Very ornate, with a large woodcut of the ceremony and border. The "New-York" in the text is not very promiment, and could easily be struck out, and the name of another state interlined. Printed on cream laid stock.