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COUNTY" Dutchess
'CITYfTOWN Wappinaer
~~~~~c: 1368 '
~5~~~~R 140
STATE OF NEW YORK
DEPARTMENT OF HEALTH
AFFIDAVIT, LICENSE and
CERTIFICATE OF
MARRIAGE
FROM THE GROOM
Donald Alfredo Ariza
MIDDLE CURRENT SURNAME
~
I
STATE RLE NUMBER
(THIS SPACE FOR STATE USE ONL Y)
"I
L 0 SUPPLEMENTAL FILE
1. A. FULL NAME
FROM THE BRIDE
Carmela Daniello
FIRST MIDDLE CURRENT SURNAME
B, BIRTH NAME (MAIDEN NAME), IF DIFFERENT N i g re II i
C, SURNAME AFTER MARRIAGE Ariza
(OPTIONAL - SEE REVERSE) 074-74-1799
D, SOCIAL SECURITY NUMBER
12, RESIDENCE A, New York B, Dutchess
(STATE) (COUNTY)
C. CHECK ONE 0 CITY oITOWN 0 VILLAGE
~~~CIFY Wappinaer
D. STREET ADDRESS 22 Quarry Drive ZIP 12590
E. IS RESIDENCE WITHIN LIMITS OF CITY OR INCORPORATED VILLAGE? 0 YES d NO
08 / 19 /1972
MONTH DAY YEAR
FIRST
11, A, FULL NAME
"-
N
B, BIRTH NAME, IF DIFFERENT
C, SURNAME AFTER MARRIAGE
(OPTIONAL - SEE REVERSE) 081-70-8765
0, SOCIAL SECURITY NUMBER
2. RESIDENCE A, Vermont B, Bennington
(STATE) (COUNTY)
C, CHECK ONE 0 CITY cY TOWN 0 VILLAGE
~~~CIFY Bennington
0, STREET ADDRESS P. O. Box 4661
ZIP
05201
E. IS RESIDENCE WITHIN LIMITS OF CITY OR INCORPORATED VILLAGE? 0 YES c:t' NO
3. A. AGE ?7 3B. DATE OF BiRTH 10 / 07 / 197
MONTH DAY YEAR
13. A. AGE 34
3B. DATE OF BIRTH
4. EMPLOYMENT
14. EMPLOYMENT
A. USUAL OCCUPATION Waitress
B. TYPE OF INDUSTRY OR BUSINESS Longobardi's Rest.
15. PLACE OF BIRTH North Tarrytown, New York
(CITY, STATE I COUNTRY IF NOT USA)
A. USUAL OCCUPATION Chef
B. TYPE OF INDUSTRY OR BUSINESS Lonaobardi's Rest.
5. PLACE OF BIRTH Guavaauil. Ecuador
(CITY. STATE I COUNTRY IF NOT USA)
6. FATHER
16. FATHER
A. NAME Arturo Niarelli
'B. COUNTRY OF BIRTH Italy
17. MOTHER
A. MAIDEN NAME Gisella Giliberti
B. COUNTRY OF BIRTH Italy
18. NUMBER OF THIS MARRIAGE 2
A. NAME DanaI Vicente Ariza Arevalo
B. COUNTRY OF BIRTH Ecuador
7. MOTHER
A. MAIDEN NAME Sonia Enriaueta Martinez
B. COUNTRY OF BIRTH Ecuador
8. NUMBER OF THIS MARF,UAGE 1
9. PREVIOUS MARRIAGES
A. NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY
DIVORCE CIVIL ANNULMENT
o 0
19. PREVIOUS MARRIAGES
A. NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY
DIVORCE CIVIL ANNULMENT
1 0
B. HOW DID LAST MARRIAGE END? (3) 0 DIVORCE (3) 0 ANNULMENT (2) 0 DEATH B. HOW DID LAST MARRIAGE END? (3) D~IVORCE (3) 0 ANNULMENT (2) 0 DEATH
C. DATE LAST MARRIAGE ENDED? / / C. DATE LAST MARRIAGE ENDED? 06/ 07 / 2006
MONTH DAY YEAR MONTH oJ DAY''- YEAR
D. ARE ANY FORMER SPOUSE(S) ALIVE? 0 YES 0 NO D. ARE ANY FORMER SPOUSE(S) ALIVE? 0 YES 0 NO
..
10. IF PREVIOUSLY DIVORCED OR ANNULLED, PROVIDE THE FOLLOWING INFORMATION 20. IF PREVIOUSLY DIVORCED OR ANNULLlED, PROVIDE THE FOLLOWING INFORMATION
DATE OF DECREE PLACE ISSUED AGAINST WHOM DATE OF DECREE PLACE ISSUED AGAINST WHOM
(MONTH, DAY, YEAR) (CITYICOUNTY, STATElCOUNTRY, IF NOT USA) SELF SPOUSE (MONTH, DAY, YEAR) (CITYICOUNTY. STATE/COUNTRYylF NOT USA) SELF SPOUSE
o 0 1ST 06/07/2006 Poughkeepsie, N 001
o 0 2ND 0
o 0 3RD 0
o 0 4TH
dge and belief that the information I provided Is
DEATH
o
DEATH
o
1ST
2ND
3RD
4TH
I duly swear/affirm, dep.ose and sa
as to my right to enter into the m
21. SIGNATURE OF GROOM ~
USE CU R
23. SUBSCRIBED AND SWORN TO/AFFIRMED BEFORE ME
SIGNATURE OF TOWN OR CITY CLERK ~ DATE
This license authorizes the marriage in New York State of authorized by New York Domestic
Relations Law !l11 to perform marriage ceremonies within New York tate. 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.
,,-I'-.. 24. TOWN OR CITY CLERK 25. A. SOLEMNIZATION PERIOD BEGINS
} NAME (PRINT) J n C. M
{SEAL SIGNATURE ~ i__ . DATE 09/05/200 TIME MONTH
MAILI~~l;lf;lQS. 1 :OliM
'-v-I LU IVllac ush R ,Wappinger Falls, NY 12590 09
STREET CITYITOWN STATE ZIP PM
~~R~~RT~~~ ~~O~~N:.z:~ 26. SOLEMNIZATION OCCURRED 27. TYPE OF CEREMONY
SONS NAMED ABOVE ON THE TIME MO. DAY YEAR 0 IX" RELIGIOUS
DATE AND AT THE TIME AND ~
PLACE INDICATED. $-.. / $" PM 16 ~ '2J)tJ 9 0 OTHER, SPECIFY
29. OFFICIANT I hrft .... r;t
NAME (PRINT) WI: I:t _,-., ..,... ~
SIGNATURE~ -4- 32 ~_
MAILING ADDRESS
YEAR
28. PLACE WHERE MARRIAGE OCCURRED
10 CIVIL
A. STATE NEW YORK B. COUNTY ;))vI-tk({
TITLE
11.~
C. LOCATION OF CEREMONY
(CHECK ONE AND SPECIFY)
18' CITY OF 0 TOWN OF 0 VILLAGE OF
/0 Iz.,:z..I.9:I) 0 (,
I '
SPECIFY
tf,of )u"'(j&;e
~
..
.
Accurapid - The Language Service
806 Main Street, Poughkeepsie, New York 12603-1829, USA
REPUBLIC OF ECUADOR
REGISTRY OF BIRTHS AND MARRIAGES
BIRTH CERTIFICATE
Book 25 Page 272 Entry 19427
In Guayaquil, province of Guayas, on this day, October 16, nineteen hundred
and seventy-eight, the undersigned, Head of the Registry of Births and Marriages, issues
this birth certificate:
NAMES: Donald Alfredo
SEX: Male
PLACE: Maternity
LAST NAMES: Ariza Martinez
DATE OF BIRTH: October 7,1978
Canton: Guayaquil Province: Guayas
FATHER'S FIRST AND LAST NAMES: Donal Vicente Ariza Arevalo
Nationality: Ecuadorian Marital Status: married ID No: 09-0536-6241
MOTHER'S FIRST AND LAST NAMES: Sonia Enriqueta Martinez
Nationality: Ecuadorian Marital Status: married ill No: 09-0723-4942
This certificate was requested by Donal Vicente Ariza Arevalo with ill No 09-0536-
6241, twenty-one years of age, a student, of Ecuadorian nationality who also declares
that it is the first child.
REMARKS
He presented the marriage certificate form the year 1978 - book 1 - page 64 - entry 64
that took place in Guayaquil. [Stamp]
Civil Registry of Births
and Marriages in Guayas
[Illegible signature]
Victor Hugo Romero, Assistant Chief
[Signature] Donald Ariza
SIGNATURES:
[BACK)
[Stamp of:]
REPUBLIC OF ECUADOR
Registry of Births and Marriages in Guayas
Year [blank) Book [blank) Page [blank) Entry [blank)
I hereby CERTIFY that this is an accurate copy of the
original kept in the archives of this Office.
Civil Registry of Births and Marriages in Guayas
February 14, 1996
[Illegible signature]
Victor Perez Bajafia, Officer
[Round stamp of:]
Registry of Births and Marriages
Provincial Government of Guayas
[Stamp:]
This document is void if it
contains any amendments.
Phone (845) 473-4550. Fax (845) 473-4554. http://accurapid.com . medtrans@accurapid.com
.
.
..
.
Affidavit of Accuracy
I, Carlota Ribas Lopez, of Accurapid Translation Services, Inc., hereby certify
that I prepared the attached translation from the Spanish language into the
English language and carefully compared it to the original and that, to the best
of my knowledge and belief; this is an accurate and complete translation of the
original document. I also certify that I am a competent translator in the
Spanish and English languages.
Poughkeepsie, August 24, 2006
fOJbIR hJ~- ~
Carlota Ribas-Lopez
Senior Translator and Editor
State of New Yark
County of Dutchess
Sworn before me on this
24th day of August, 2006
~~VV\~-~
SUSAN J. Mll:r.~ER
a Public State of New York
N~.0~{~15028455, Dutche~8f~nty
Term Expires May 31,