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STATE OF NEW YORK
DEPARTMENT OF HEALTH
AFADAVI~UCENSEand
CERTIFICATE OF
MARRIAGE
FROM THE GROOM
Anthony Santo Alessi
MIDDLE CURRENT SURNAME
COUNTY Dutchess
CITYrrOWN Wappinger
~~~:~: 1368 .
~~~~J~R 120
1. A. FULL NAME
FIRST
a.
N
B. BIRTH NAME, IF DIFFERENT
C. SURNAME AFTER MARRIAGE
(OPTIONAL. SEE REVERSE) 1 07-54 9471
D. SOCIAL SECURITY NUMBER -
2 RESIDENCE A. NY B. Dutchess
(ST A TEl (COUNTY)
C. CHECK ONE 0 CITY ~ TOWN 0 VILLAGE
~~~CIFY Fishkill
o STREET ADDRESS 2202 Boscobel Loop ZIP 12590
E. IS RESIDENCE WITHIN LIMITS OF CITY OR INCORPORATED VILLAGE? 0 YES tJ NO
3. A. AGE 38 3B. DATE OF BIRTH 02 / 09 /1971
MONTH DAY YEAR
4. EMPLOYMENT
A. USUAL OCCUPATION Doctor
B. TYPE OF INDUSTRY OR BUSINESS Health Care
5. PLACE OF BIRTH Huntington, NY
(CITY. STATE I COUNTRY IF NOT USA)
6. FATHER
A. NAME Paul P. Alessi
B. COUNTRY OF BIRTH USA
7. MOTHER
A MAIDEN NAME Madeline C. Giuliano
B. COUNTRY OF BIRTH USA
8. NUMBER OF THIS MARRIAGE 1
9. PREVIOUS MARRIAGES
A NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY
DIVORCE CIVIL ANNULMENT
o 0
DEATH
o
B. HOW DID LAST MARRIAGE END? (3) 0 DIVORCE
C. DATE LAST MARRIAGE ENDED?
(3) 0 ANNULMENT
/ /
(2) 0 DEATH
YEAR
MONTH DAY
D. ARE ANY FORMER SPOUSE{S) ALIVE? 0 YES 0 NO
10. IF PREVIOUSLY DIVORCED OR ANNULLED, PROVIDE THE FOLLOWING INFORMATION
DATE OF DECREE PLACE ISSUED AGAINST WHOM
(MONTH, DAY, YEAR) (CITY/COUNTY, STATE/COUNTRY, IF NOT USA) SELF SPOUSE
I
STATE FILE NUMBER
(THIS SPACE FOR STA TE USE ONL Y)
I
L 0 SUPPLEMENTAL FILE
FROM THE BRIDE
Briana Rae McCance
MIDDLE CURRENT SURNAME
~
11. A. FULL NAME
FIRST
B. BIRTH NAME (MAIDEN NAME), IF DIFFERENT
C. SURNAME AFTER MARRIAGE Alessi
(OPTIONAL. SEE REVERSEl301_82_2673
D. SOCIAL SECURITY NUMBER
12. RESIDENCE A. NY B. Dutchess
(STATE) (COUNTY)
C. CHECK ONE 0 CITY tJ TOWN 0 VILLAGE
~~~CIFY Fishkill
D. STREET ADDRESs2202 Boscobel Loop
E. IS RESIDENCE WITHIN LIMITS OF CITY OR INCORPORATED VILLAGE?
13. A AGE 31 3B. DATE OF BIRTH 12 ",.08
MONTH DAY
ZIP 12590
DYES '6 NO
;1'977
YEAR
14. EMPLOYMENT
A. USUAL OCCUPATION Esthetician
B. TYPE OF INDUSTRY OR BUSINESS Beauty
15. PLACE OF BIRTH Toledo, OH
(CITY, STATE I COUNTRY IF NOT USA)
16. FATHER
A. NAME Bruce Chester McCance
'B. COUNTRY OF BIRTHU S A
17. MOTHER
A. MAIDEN NAME Cheryl Ann McNamee
B. COUNTRY OF BIRTH USA
18. NUMBER OF THIS MARRIAGE 1
19. PREVIOUS MARRIAGES
A. NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY
DIVORCE CIVIL ANNULMENT
o 0
DEATH
o
B. HOW DID LAST MARRIAGE END?
(3) 0 DIVORCE
(3) 0 ANNULMENT (2) 0 DEATH
/ /
. - YEAR
C. DATE LAST MARRIAGE ENDED?
MONTH DAY
D. ARE ANY FORMER SPOUSE(S) ALIVE? 0 YES 0 NO
~
20. IF PREVIOUSLY DIVORCED OR ANNULLED, PROVIDE THE FOLLOWING INFORMATION
DATE OF DECREE PLACE ISSUED AGAINST WHOM
(MONTH, DAY, YEAR) (CITYICOUNTY, STATE/COUNTRY, IF NOT USA) SELF SPOUSE
1ST 0 0 1ST 0 0
2ND 0 0 2ND 0 0
3RD 0 0 3RD 0 0
4TH 0 0 4TH 0 0
I duly swear/affirm, depose and say, that to the best of my knowledge and belief that the Information I provided is true and that I declare that no legal impediment exists
as to my right to enter into the marnage state. (/f'2 ~ _ ~
21. SIGNATURE OF GROOM~ O""'~ ~ :::s;::: ,c"~-
USE CURRENT NAME
DATE 10/13/2009
o ,P--RELIGIOUS
9 0 OTHER, SPECIFY
23. SUBSCRIBED AND SWORN TO/AFFIRMED BEFORE M
SIGNATURE OF TOWN OR CITY CLERK ~
This license authorizes the marriage in New York State of the bride and groom named above by any person authorized by New York Domestic
W Relations Law ~11 to perform marriage ceremonies within New York State. THIS LICENSE VALID IN NEW YORK STATE ONLY.
C/) 0 If checked, this license is to be used only for the purpose of a second or subsequent ceremony,
Z ~ 24. TOWN OR CITY CLERK 25. A. SOLEMNIZATION PERIOD BEGINS
W } NAME (PRINT) John C. Masterson
U { TIME MONTH YEAR MONTH
::J SEAL SIGNATURE ~
\- -J MAI~t)I(> ItfIP~ffjSe AM 10 14 2009 12 12 2009
-v- u 12:34PM
STREET
I CERTIFY THAT I SOLEMNIZED
THE MARRIAGE OF THE PER.
SONS NAMED ABOVE ON THE
DATE AND AT THE TIME AND
PLACE INDICATED.
YEAR
10 CIVIL
2B. PLACE WHERE MARRIAGE OCCURRED
A. STATE NEW YORK 8. COUNTY ~+'U6 IE
72va?L.rJOD
I 0// (pI D'1
I C>5/ 2-----
C. LOCATION OF CEREMONY
(CHECK ONE AND SPECIFY)
o CITY O~N OF 0 VILLAGE OF
SPECIFY WIf'WAf~tf/.I>t-
ZIP
31. WITNESS TO CEREMONY
NAME (PRINT) 1312 uc,::=
SIGNATURE~ ~
~.