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~ I A II: Ut- NI:W YUHI\
DEPARTMENT OF HEALTH
AFFIDAVIT, LICENSE and
CERTIFICATE OF
MARRIAGE
FROM THE GROOM
FIRST Ph~!~~LEAdrian D~~~~NTSURNAME
COUNTY Dutchess
CITYfTOWN Wappinger
~~~:~c~ 1368
~~~I:~~R 55
1 . A. FULL NAME
B. BIRTH NAME, IF DIFFERENT
C. SURNAME AFTER MARRIAGE
(OPTIONAL - SEE REVERSE)116 52 7663
D. SOCIAL SECURITY NUMBER --
2. RESIDENCE A. NY B. Dutchess
(STATE) (COUNTY)
C. CHECK ONE 0 CITY 0 TOWN~ VILLAGE
~~~CIFY Hvde Park
o STREET ADDRESS 26 Mansion Dr, ZIP 12538
E. IS RESIDENCE WITHIN LIMITS OF CITY OR INCORPORATED VILLAGE? tJ YES 0 NO
3. A. AGE 50 3B. DATE OF BIRTH 1 0 / 22 / 1958
MONTH DAY YEAR
4. EMPLOYMENT
A. USUAL OCCUPATION Professional ManaQer
8. TYPE OF INDUSTRY OR BUSINESS Automotive
5. PLACE OF BIRTH Queens, New York
(CITY, STATE / COUNTRY IF NOT USA)
6. FATHER
A. NAME James F. Dolce
B. COUNTRY OF BIRTH USA
7. MOTHER
A. MAIDEN NAME Alice May Cutler
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) t1 DIVORCE (3) 0 ANNULMENT (2) 0 DEATH
C. DATE LAST MARRIAGE ENDED? 12 / 04 / 2006
MONT~ DAY YEAR
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
12/04/2006 Albany, New York ~
DEATH
o
(THIS SPACE FOR STATE USE ONLY)
L 0 SUPPLEMENTAL FILE
FROM THE BRIDE
Anne Marie Nolan
MIDDLE CURRENT SURNAME
~
11. A. FULL NAME
FIRST
B. BIRTH NAME (MAIDEN NAME), IF DIFFERENT
C. SURNAME AFTER MARRIAGE Nolan-Dolce
(OPTIONAL - SEE REVERSE)113_54_0279
D. SOCIAL SECURITY NUMBER
12. RESIDENCE ANY BDutchess
(STATE) J.. (COUNTY)
C. CHECK ONE 0 CITY U TOWN 0 VILLAGE
~~~CIFY East Fishkill
D. STREET ADDRESS6 Mornlngslde Dr.
ZIP 12b90
DYES "6 NO
,.%962
YEAR
E. IS RESIDENCE WITHIN LIMITS OF CITY OR INCORPORATED VILLAGE?
13. A. AGE46 3B. DATE OF BIRTH 06 /f0
MONTH DAY
14. EMPLOYMENT
A. USUAL OCCUPATION School Counciler
B. TYPE OF INDUSTRY OR BUSINESS Arlington
15. PLACE OF BIRTH Queens, New York
(CITY, STATE / COUNTRY IF NOT USA)
16. FATHER
A. NAME Michael Joseph Nolan
'B. COUNTRY OF BIRTHU S A
17. MOTHER
A MAIDEN NAME Santa Carmela Sturiale
B. COUNTRY OF BIRTHU S A
18. NUMBER OF THIS MARRIAGE 1
19. PREVIOUS MARRIAGES
A. NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY
DIVORCE CIVIL ANNULMENT
o 0
DEATH
o
(3) 0 ANNULMENT (2) 0 DEATH
/ /
~ YEAR
B. HOW DID LAST MARRIAGE END? (3) 0 DIVORCE
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) (CITY/COUNTY, STATE/COUNTRY, IF NOT USA) SELF SPOUSE
o
o
o
o 0
o 0
o 0
o 0
that I declare that no lega impediment exists
-/f~
1ST
2ND
3RD
4TH
I duly swear/affirm, depose and say, that to the e
as to my right to enter into the marnage st
21. SIGNATURE OF GROOM~
23. SUBSCRIBED AND SWORN TO/AFFIRMED BEF
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 !i11 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 only for the purpose of a second or subsequent ceremony,
24. TOWN OR CITY CLERK 25. A. SOLEMNIZATION PERIOD BEGINS
n
o
o
W
UJ
Z
W
o
::::i
~
{ } NAME (PRINT)
SEAL SIGNATURE ~
'-.-I MAI~~ ~f
STREET
I CERTIFY THAT I SOLEMNIZED
THE MARRIAGE OF THE PER.
SONS NAMED ABOVE ON THE
()A TE AND AT THE TIME AND
PLACE INDICATED.
DATE
06/08/2009
by New York Domestic
TIME
MONTH
YEAR
DATE 06/08/2009
ers Falls, NY 12590
CITYrrOWN STATE ZIP
26. SOLEMNIZATION OCCURRED 27. TYPE OF CEREMONY
TIME MO. DAY YEAR oX:i RELIGIOUS
AM
2: 30PM 7/12/09 90 OTHER, SPECIFY
29. OFFICIANT
NAME (PRINT)
AM
03:22PM
07 2009
06
09
2009
08
28. PLACE WHERE MARRIAGE OCCURRED
10 CIVIL
A. STATE NEW YORK B. COUNTY Dutchess
C. LOCATION OF CEREMONY
(CHECK ONE AND SPECIFY)
o CITY OF ~ TOWN OF 0 VILLAGE OF
SPECIFY ~ ~~..'-I)~~/-
V
DATE
TITLE Catholic Priest
Joseph P. LaMorte
A~.~
~et poughkeepsie.
CITYfTOWN
New York
STATE
SIGNATURE ~
MAILING ADDRESS
775 Main
STREET
30. WITNESS TO CEREMONY
NAME (PRINT)
SIGNATURE~
DOH-98 (0312006)
Maximillian Dolce
.~D~
7/12/09
12603
ZIP
31. WITNESS TO CEREMONY
NAME (PRINT)
SIGNATURE~
Da~Marie Nolan
~.-- ~ tv