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STATE OF NEW YORK
DEPARTMENT OF HEALTH
AFFIDAVIT, LICENSE and
CERTIFICATE OF
MARRIAGE
FROM THE GROOM
Samuel Soto. JR.
MIDDLE CURRENT SURNAME
c co~" Dutchess
~Y/TO~ Wappinger
~~J=~c~ 1368 '
~~~~~R 156
1 , A. FULL NAME
FIRST
0-
N
B. BIRTH NAME, IF DIFFERENT
C. SURNAME AFTER MARRIAGE
(OPTIONAL - SEE REVERSE) 1 05-68-4234
D. SOCIAL SECURITY NUMBER
2. RESIDENCE A. New York B. Dutchess
(STATE) (COUNTY)
C. CHECK ONE 0 CITY ~ TOWN 0 VILLAGE
~~~CIFY Wappinger
D. STREET ADDRESS 9F Alpine Drive
ZIP 12590
E. IS RESIDENCE WITHIN LIMITS OF CITY OR INCORPORATED VilLAGE? 0 YES cf NO
11 / 13 / 197
MONTH DAY YEAR
3. A. AGE 29
3B. DATE OF BIRTH
4. EMPLOYMENT
A. USUAL OCCUPATION Correction Officer
B. TYPE OF INDUSTRY OR BUSINESS N. Y. S. D. O. C. S.
5. PLACE OF BIRTH Beacon, New York
(CITY, STATE I COUNTRY IF NOT USA)
6. FATHER
I-
-:;
te(
c
it
U-
te(
A. NAME Samuel Soto, Sr.
B. COUNTRY OF BIRTH Puerto Rico
7. MOTHER
A. MAIDEN NAME Josefina Santos
B. COUNTRY OF BIRTH Puerto Rico
1
8. NUMBER OF THIS MARRIAGE
9. PREVIOUS MARRIAGES
A. NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY
DIVO'(fE CIVIL ANN~LMENT
DEA~
B. HOW DID LAST MARRIAGE END? (3) 0 DIVORCE
C. DATE LAST MARRIAGE ENDED?
(2) 0 DEATH
(3) 0 ANNULMENT
/ /
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
I
STATE FILE NUMBER
(TH/S SPA~ FOR STATE USE ONLY)
I
Lo
~
SUPPLEMENTAL FILE
FROM THE BRIDE
Lissa Lynn Yannone
MIDDLE CURRENT SURNAME
11. A. FULL NAME
FIRST
B. BIRTH NAME (MAIDEN NAME), IF DIFFERENT
C. SURNAME AFTER MARRIAGE Yannone - Soto
(OPTIONAL - SEE REVERSE) 093-72-4289
D. SOCIAL SECURITY NUMBER
12. RESIDENCEA. New York B. Dutchess
(STATE) (COUNTY)
C. CHECK ONE 0 CITY ct TOWN 0 VILLAGE
~~~CIFY WapQin~er
D. STREET ADDRESS 9F Alpine Drive ZIP 12590
E. IS RESIDENCE WITHIN UMITS OF CITY DR INCORPORATED VILLAGE? 0 YES d NO
02 /25 /1980
DAY YEAR
13. A. AGE 26
3B. DATE OF BIRTH
MONTH
14. EMPLOYMENT
A. USUAL OCCUPATION Unemployed
B. TYPE OF INDUSTRY O~ BUSINFSS
15. PLACE OF BIRTH Newourgn, New York
(CITY, STATE I COUNTRY IF NOT USA)
16. FATHER
A. NAME Michael JOSeRh Yannone
B. COUNTRY OF BIRTH U S
17. MOTHER
A. MAIDEN NAME Kathy Ann Lynn
B. COUNTRY OF BIRTH USA
. 1
18. NUMBER OF THIS MARRIAGE
19. PREVIOUS MARRIAGES
A. NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY
DIVBRCE CIVIL AN1jLMENT
D~H
(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) (CllY/COUNTY, STATElCOUNTRY, IF NOT USA) SELF SPOUSE
1ST
2ND
3RD
4TH
I duly swear/affirm, deP.Ose and say, that to the
as to my right to enter into the marnage sta .
/~
"
o 1~ 0 0
o 2ND 0 0
o ~ 0 0
o 4TH 0 0
elief that the information I provided is true and that I declare that no legal impediment exists
NATUREOFBRIDE~~~
~ {r - r - -USE~NiNAME 09/25/2006
DATE
21. SIGNATURE OF GROOM~
YEAR
ZIP
STATE
27. TYPE OF CEREMONY
o 0 RELIGIOUS
9 0 OTHER, SPECIFY
NAME (PRINT)
SIGNATURE"
nnu_oa In~n~\
1)1( CIVIL
28. PLACE WHERE MARRIAGE OCCURRED
A. STATE NEW YORK B. COUNTY C\\Jt,,\ut
C. LOCATION OF CEREMONY
(CHECK ONE AND SPECIFY)
o CITY OF)(l. TOWN OF 0 VILLAGE OF
SPECIFY _F' \.!'h \< \ \ \
Sf)? ATI~
~R
NAME (PRINT)
SIGNATURE"
SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF DUTCHESS
---------------------------------------------X
In the Matter of the Marriage
Solemnization of
CO{~--
...
r
ORDER PURSUANT TO
DRL ~13-b
SAMUEL SOTO, JR. and
LISSA LYNN YANNONE.
---------------------------------------------x
PAGONES, J.D., A.J.S.C.
Samuel Soto, Jr. (d/o/b: 11/13/76) and Lissa Lynn Yannone
(d/o/b: 02/25/80), having obtained a valid marriage license on
September 25, 2006 and having made an oral application to the
court pursuant to Domestic Relations Law ~13-b to authorize the
immediate solemnization of their marriage and dispense with the
twenty-four (24) hour waiting period, and having shown good cause
to warrant the relief requested pursuant to the statute, it lS
hereby
ORDERED, that Samuel Soto, Jr. and Lissa Lynn Yannone are
granted permission to the immediate solemnization of their
marriage without observing the twenty-four (24) hour waiting
period.
So ordered.
Dated:
Poughkeepsie, New York
September 25, 2006
ENTER
ES, A.J.S.C.
D.
092506 order