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DEPARTMENT OF HEALTH
AFFIDA VIT, LICENSE and
CERTIFICATE OF
MARRIAGE
FROM THE GROOM
Paul Jesse Kalnitzky
MIDDLE CURRENT SURNAME
COUNTY uutcness
CITYfTOWN Wappinger
~~J:~c;n 368
~B~~l~R4 7
1. A. FULL NAME
FIRST
0-
N
B. BIRTH NAME, IF DIFFERENT
STATE FILE NUMBER
(THIS SPACE FOR STATE USE ONLY)
L 0 SUPPLEMENTAL FILE
FROM THE BRIDE
Virginia Jean Tritto
MIDDLE CURRENT SURNAME
11. A. FULL NAME
FIRST
B. BIRTH NAME (MAIDEN NAME), IF DIFFERENT
C. SURNAME AFTER MARRIAGE Kalnitzky
(OPTIONAL. SEE REVERSE065_70_5280
D. SOCIAL SECURITY NUMBER
12. RESIDENCE ANY B. Dutchess
(STATE).L (COUNTY)
C. CHECK qN,F. 0 CITY U TOWN 0 VILLAGE
~~~CIFY vvapplnger
4U1 t-'opula 8lvd.
D. STREET ADDRESS
12590
ZIP
~
E. IS RESIDENCE WITHIN LIMITS OF CITY OR INCORPORATED VILLAGE? 0 rEi M.. ~o
13. A. AGE24 3B. DATE OF BIRTH 04 )1'1 ~
MONTH DAY YEAR
14. EMPLOYMENT
A. USUALOCCUPATIONManager
Kental Cars
B. TYPE OF INDl{S,TRY pR BUSII't~S
15. PLACE OF BIRTH YOnKerS, NY
(CITY, STATE / COUNTRY IF NOT USA)
16. FATHER
A. NAMEJoseph Samuel Tritto
'B. COUNTRY OF BIRTHU ~ A
17. MOTHER
A. MAIDEN NAME Nancy Colao
B. COUNTRY OF BIRTHU S A
1
18. NUMBER OF THIS MARRIAGE
19. PREVIOUS MARRIAGES
A. NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY
DOORCE CIVIL A"/)'ULMENT
D~TH
C. SURNAME AFTER MARRIAGE
(OPTIONAL - SEE REVERSEb70_74_2458
D. SOCIAL SECURITY NUM8ER
2. RESIDENCE A. NY 8. Dutchess
(STATE) (COUNTY)
C. CHECK ONE 0 CITY"'!] TOWN 0 VILLAGE
~~~CIFY Wappinger
D. STREETADDREss401 Popula Blvd. ZIP 12590
E. IS RESIDENCE WITHIN LIMITS OF CITY OR INCORPORATED VILLAGE? 0 YES\/"O NO
07 /05 /1983
DAY YEAR
3. A. AGE25
3B. DATE OF BIRTH
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, STATElCOUNTRY, IF NOT USA) SELF SPOUSE
(3) 0 ANNULMENT (2) 0 DEATH
/ /
. - YEAR
1ST 0 0 0
cr' 2ND 0 0 0
w
"' 3RD 0 0 0
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Z
0
Z
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MONTH
4. EMPLOYMENT
A. USUAL OCCUPATION Commercial Traffic Director
B. TYPE OF INDUSTRY OR BUSINESS Media
5. PLACE OF BIRTH San Diego, Ca
(CITY, STATE I COUNTRY IF NOT USA)
6. FATHER
A. NAME Bruce Kalnitzky
B. COUNTRY OF BIRTH USA
7. MOTHER
A. MAIDEN NAME Heidi Rochelle Cooperman
8. 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
USE CUR
23. SUBSCRIBED AND SWORN TO/AFFIRMED 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 only for the purpose of a second Dr subsequent ceremony.
24. TOWN OR CITY CLERK 25. A. SOLEMNIZATION PERIOD BEGINS
J C Masterson
~
{ } NAME (PRINT)
SEAL SIGNATURE ~ .'. DATE OS/22/2009
'-v-I MA~~G~Pc:f eb h Rd, Wap ngers Falls, NY 12590
STREET CITY/TOWN STATE ZIP
~~:R~~~RT~~l ~~O~~~N~ZEE~ 26. SOLEMNIZATION OCCURRED 27. TYPE OF CEREMONY
SONS NAMED ABOVE ON THE TIME MO. DAY YEAR 0'rT RELIGIOUS 1 0 CIVIL
DATE AND AT THE TIME AND () AM ( 1C-
PLACE INDICATED. ,3'30 , \0 I 0 I I 9 0 OTHER, SPECIFY
~~~:~~~~ ;;;/~ /G/ ~ ~ c,i .e; .('.w TITLE ?eY~ -e /LL
SIGNATURE~ ~t7Ud ~d ~ b ' ;; . ~t50r
MAILING ADDRESS <"'.+:- / ~ ~ ' ; {/
// tf!.I(! ...../ r ' "It? t'lU U ~ 'P7'Z1C- I ~ 7 J
STREET CITYfTOWN Z P
30. WITNESS TO CEREMONY 31. WITNESS T REMONY
::::: ~d/~'1 :;:::
DOH-98 (0312006)
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B. HOW DID LAST MARRIAGE END? (3) 0 DIVORCE
C. DATE LAST MARRIAGE ENDED?
(3) 0 ANNULMENT
/ /
(2) 0 DEATH
MONTH 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) (CITYICOUNTY, STATE/COUNTRY, IF NOT USA) SELF SPOUSE
by New York Domestic
TIME
MONTH
YEAR
MONTH
YEAR
12:32~~ 05
23
2009
07
21 2009
28. PLACE WHERE MARRIAGE OCCURRED
A. STATE NEW YORK B. COUNTY /ti1h/~
C. LOCATION OF CEREMONY
(CHECK ONE AND SPECIFY)
~ CITY OF 0 TOWN OF 0 VILLAGE OF
SPECIFY ~n;{!{~" W-riJ ttLl::
~) 3 DeIA#,q/le ~, ;(,'1 s~ .v