112
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23. SUBSCRIBED AND SWORN TO/AFFIRM BEFORE ME
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
Relations Law ~11 to perform marriage ceremonies within New York State. THIS LICENSE VALID IN NEW YORK STATE ONLY.
o If checked, this license is to be used oniy for the purpose of a second or subsequent ceremony.
24. TOWN OR CITY CLERK 25. A. SOLEMNIZATION PERIOD BEGINS
NAME (PRIN. 0 n C Mas e so
SIGNATURE DATE 09/22/200
MAIIJ.NOG
L in ers Falls NY 12590
STREET CITYITOWN STATE ZIP
I CERTIFY THAT I SOLEMNIZED 26. SOLEMNIZATION OCCURRED 27J;:TY E OF CEREMONY
THE MARRIAGE OF THE PER.
SONS NAMED ABOVE ON THE TIME MO. DAY YEAR 0 RELIGIOUS 1 0 CIVIL
DATE AND AT THE TIME AND AM 0'
PLACE INDICATED. ~:a:J M J.O J 8 C) / 9 0 OTHER, SPECIFY
29. OFFICIANT 'neu' f( A F /111 J. Uj/'^- /,..-" / -r:~. fA ft fA'~1 fA I J ItC'l-----"
NAME (PRINT) K . It'L..YfI liJ-:K::i IV TITLExrl.-~t::t1ti711' u: ';~^
SIGNATURE ~ ~ ~..=)"J(~ "!, A -L- DATE C::>c. '". I cr "-l.... ~ 009:
M~~Dftid~e(/ietV ~k'fj/ f/oPef//elL\T()ncrjD/~IV'j ~33
STREET ~ CITY/TOWN STATE - ZIP
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STATE OF NEW YORK
DEPARTMENT OF HEALTH
AFFIDAVIT, LICENSE and
CERTIFICATE OF
MARRIAGE
FROM THE GROOM
Sr.ntt F H::lrri~
MIDDLE CURRENT SURNAME
COUNTY Dutchess
CITY/TOWN Wappinger
~~~:~CRT 1368
~5~~J~R 11 2
1 . A. FUll NAME
FIRST
..
N
B. BIRTH NAME, IF DIFFERENT
C. SURNAME AFTER MARRIAGE
(OPTIONAL. SEE REVERSE)
D. SOCIAL SECURITY NUMBER 105-54-7242
2. RESIDENCE A. r.T B. I itchfip.lrl
(STATE) (COUNTY)
C. CHECK ONE 0 CITY ii"'I TOWN 0 VILLAGE
AND Sh
SPECIFY a ro n
D. STREET ADDRESS 120 Sharon Valley Rd ZIP 06069
E. IS RESIDENCE WITHIN LIMITS OF CITY OR INCORPORATED VILLAGE? 0 YES ~ NO
3. A. AGE 4!1 3B. DATE OF BIRTH n~ / ~ 1 / 19R4
MONTH DAY YEAR
4. EMPLOYMENT
A. USUAL OCCUPATION Tp.Ip.cnmmLmication Tech
B. TYPE OF INDUSTRY OR BUSINESS Telecommunications
5. PLACE OF BIRTH Keene Valley, New York
(CITY, STATE / COUNTRY IF NOT USA)
6. FATHER
A. NAME John William Harris
B. COUNTRY OF BIRTH U S A
7. MOTHER
A. MAIDEN NAME Shirley Anne Cave
B. COUNTRY OF BIRTH USA
8. NUMBER OF THIS MARRIAGE 2
9. PREVIOUS MARRIAGES
A. NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY
DIVORCE CIVIL ANNULMENT
1 0
B. HOW DID LAST MARRIAGE END? (3) [j'DIVORCE (3) 0 ANNULMENT
C. DATE LAST MARRIAGE ENDED? 06/ 15 /
MONTH DAY
D. ARE ANY FORMER SPOUSE(S) ALIVE? ~ES 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
06/15/1995 Poughkeepsie, Ny d'
/7
DEATH
o
(2) 0 DEATH
1995
YEAR
1ST
2ND
3RD
4TH
I duly swear/affirm, depose and say, t
as to my right to enter into the marn
21. SIGNATURE OF GROOM~ /,
o
~
{ SEAL }
"-v-I
SIGNATURE~
I
STATE FILE NUMBER
(THIS SPACE FOR STATE USE ONL Y)
I
L 0 SUPPLEMENTAL FILE
FROM THE BRIDE
C~M6~ Jean Cr~~RENTSURNAME
..J
11. A. FULLNAME
FIRST
B. BIRTH NAME (MAIDEN NAME). IF DIFFERENT
C. SURNAME AFTER MARRIAGE r:r::lig-Harris
(OPTIONAL. SEE REVERSE) 084 58 9871
D. SOCIAL SECURITY NUMBER --
12 RESIDENCE A. CT B Litchfield
(STATE) (COUNTY)
C. CHECK ONE 0 CITY I'ii'f TOWN 0 VILLAGE
~~~CIFY Sharon
o STREET ADDRESS 120 Sharon Valley Rd
ZIP 06069
DYES!!1 NO
/f 961
YEAR
E. IS RESIDENCE WITHIN LIMITS OF CITY OR INCORPORATED VILLAGE?
13. A. AGE 48 3B. DATE OF BIRTH 06 /01
MONTH DAY
14. EMPLOYMENT
A. USUAL OCCUPATION Art Director
B. TYPE OF INDUSTRY OR BUSINESS AdvertisinQ PublishinQ
15. PLACE OF BIRTH Poughkeeosie, NY
(CITY, STATE / COUNTRY IF NOT USA)
16. FATHER
A. NAME Ronald Edward Craig
'B. COUNTRY OF BIRTH USA
17. MOTHER
A. MAIDEN NAME Peggy Anna Underwood
B. COUNTRy.OF BIRTH USA
18. NUMBER OF THIS MARRIAGE 2
19. PREVIOUS MARRIAGES
A. NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY
DIVORCE CIVIL ANNULMENT DEATH
1 0 0
B. HOW DID LAST MARRIAGE END? (3) d'DIVORCE (3) 0 ANNULMENT (2) 0 DEATH
C. DATE LAST MARRIAGE ENDED? 12 / 18 / 1995
MONTH DAY - YEAR
D. ARE ANY FORMER SPOUSE(S) ALIVE? i:!"YES 0 NO
~
20. 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
1ST 12/18/1995 PouQhkeeosie, NY 0 ~
2ND 0 0
3RD 0 0
o 0
ediment exists
by New York Domestic
TIME
MONTH
YEAR
MONTH
YEAR
AM
03:39PM
09
23
2009
11
21 2009
28. PLACE WHERE MARRIAGE OCCURRED
A. STATE NEW YORK B. COUNTYWURS~
C. LOCATION OF CEREMONY
(CHECK ONE AND SPECIFY)
o CITY OF ~ TOWN OF 0 VILLAGE OF
SPECIFY Pt> Ii ~~ie
ra.;L~rJ>)e" C/f7f-f?&,-
SIGNATURE