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111 o 0 1ST o 0 2ND o 0 3RD o 0 4TH tlat to ttle beS~Wledge and belief that ttle information I provided is true mage state. , 2 IGNATURE OF BRIDE~ USE RR NT 23. SUBSCRIBED AND SWORN TO/AFFIRMED BEFORE ME SIGNATURE OF TOWN OR CITY CLERK ~ DATE This license authorizes the marriage in New York State auttlorized by New York Domestic W Relations Law ~11 to perform marriage ceremonies within New Y State. THIS LICENSE VALID IN NEW YORK STATE ONLY. en 0 If ctlecked, ttlis license is to be used only for the purpose of a second or subsequent ceremony. Z ~ 24. TOWN OR CI~8fiW C. Masterson 25. A. SOLEMNIZATION PERIOD BEGINS W { } NAME (PRINT) o YEAR MONTH ::J SEAL SIGNATURE ~ DATE MAIL2@ -WRt'M appinger Falls, NY 2006 09 ~ .. N + !z w en w m c ... ::> o :I: en z o ~ tn a w a: w C!l < a: a: :;j ... o w !;( () ii: ~ w () w a: w ~ -.... :> < c it I.L < en en w a: c c < ~ (3 w .. en a:' w "' ~ :;;) Z Q Z < Iii w a: Iii + ~:i:z :;;)t:Q lii~~ ~ffiz en...::! ::>()w ::!C!l5 !z~<7l ~~~ fEe(/) 01->- w~~ E;ailtl z3~ STATE OF NEW YORK DEPARTMENT OF HEALTH AFFIDAVIT, LICENSE and CERTIFICATE OF MARRIAGE FROM THE GROOM Seamus Padraig Doran MIDDLE CURRENT SURNAME COUNTY Dutchess CITY/TOWN Wappinger ~~~~~ 1368 . ~~~:;~R 111 1. A. FULL NAME FIRST B. BIRTH NAME, IF DIFFERENT C. SURNAME AFTER MARRIAGE (OPTIONAL' SEE REVERSE) 151-80-5170 D. SOCIAL SECURITY NUMBER 2. RESIDENCE A. New York B. Rockland (STATE) (COUNTY) C. CHECK ONE 0 CITY I!f' TOWN 0 VILLAGE ~~CIFY Ramapo D. STREET ADDRESS 48 Bon Aire Circle ZIP 10901 E, IS RESIDENCE WITHIN LIMITS OF CITY OR INCORPORATED VILlAGE? 0 YES ~ NO 11 / 26 / 197 MONTH DAY YEAR 3. A. AGE 31 3B. DATE OF BiRTH 4. EMPLOYMENT A. USUAL OCCUPATION Telecom Manager B. TYPE OF INDUSTRY OR BUSINESS Ramapo College 5. PLACE OF BIRTH Wyandotte, Michigan (CITY, STATE I COUNTRY IFNOT USA) 6. FATHER A. NAME James Doran B, COUNTRY OF BIRTH Ireland 7. MOTHER Donna Jean Schmitt A. MAIDEN NAME USA B. COUNTRY OF BIRTH 1 8. NUMBER OF THIS MARRIAGE 9. PREVIOUS MARRIAGES A. NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY DIV05CE CIVIL ANNdLMENT DE1r B. HOW DID lAST MARRIAGE END? (3) 0 DIVORCE C. DATE LAST MARRIAGE ENDED? (3) 0 ANNULMENT / / (2) 0 DEATH YEAR MONTH DAY 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 1ST 2ND 3RD 4TH I duly swear/affirm, dep.ose and as to my right to enter into the 21. SIGNATURE OF GROOM~ I STATE FILE NUMBER (THIS SPACE FOR STA TE USE ONL Y) I L 0 SUPPLEMENTAL FILE FROM THE BRIDE Andrea Christina Boccio MIDDLE CURRENT SURNAME --1 11. A. FULL NAME FIRST B. BIRTH NAME (MAIDEN NAME), IF DIFFERENT C. SURNAME AFTER MARRIAGE Boccio - Doran (OPTIONAL - SEE REVERSE) 097-58-2048 D. SOCIAL SECURITY NUMBER 12. RESIDENCE A. New York B. Dutchess (STATE)....; (COUNTY) C. CHECK ONE 0 CITY L:J TOWN 0 VILLAGE AND W . SPECIFY ap~lnger D. STREET ADDRESS 1 08 Edgehlll Drive ZIP 12590 E. IS RESIDENCE WITHIN LIMITS OF CITY OR INCORPORATED VILlAGE? 0 YES ~ NO 04 /20 /1976 DAY YEAR 13. A. AGE 30 3B. DATE OF BIRTH MONTH 14. EMPLOYMENT A. USUAL OCCUPATION Teacher B. TYPE OF INDU!U.RY OR,BI,ISINESS Pok. City Sch. LJISt. 15. PLACE OF BIRTH t-'ougnKeepsle, New York (CITY, STATE I COUNTRY IF NOT USA) 16. FATHER A. NAME John Michael Boccio 'B. COUNTRY OF BIRTH USA 17. MOTHER DIM' C . I' A. MAIDEN NAME 0 ores arle aprlo I B. COUNTRY OF BIRTH U S ~ 18. NUMBER OF THIS MARRIAGE 19. PREVIOUS MARRIAGES A. NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY DIV8RCE CIVIL AN~LMENT DEfJH B. HOW DID lAST MARRIAGE END? (3) 0 DIVORCE C. DATE LAST MARRIAGE ENDED? (3) 0 ANNULMENT (2) 0 DEATH / / .'- YEAR 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 o 0 o 0 o 0 o 0 al impediment ~xists YEAR ZIP STATE 27. TYPE OF CEREMONY o ~L1GIOUS 9 0 OTHER, SPECIFY STREET CITYITOWN ~~~~R~~J IO~O~~N~Z:~ 26. SOLEMNIZATION OCCURRED SONS NAMED ABOVE ON THE TIME MO. DAY YEAR DATE AND AT THE TIME AND rY1 AM PLACE INDICATED. ~ O~ - I a. - J.I)P/P w 5 ~~~::1i 1<ew. f{~ G-.~ ~ ~2~~~~5@/~~ ffi l>.b. "eo'll ~8 ~g;--:rUr.J(.,+iOiv , o STREET ' CITY/TOWN 30. WITNESS TO C 28. PLACE WHERE MARRIAGE OCCURRED A. STATE NEW YORK B. COUNTY ~ C. LOCATION OF CEREMONY (CH~ ONE AND SPECIFY) V CITY OF 0 TOWN OF 0 VILLAGE OF SPECIFY ~ OJ.. fJ. 0 g~ ~ 10 CIVIL TITLE '"Rc M-.IW CA-n-foI'iC-. Pf';~ DATE .lug. I J. ~ rl()(Xp rJ-e<>> Yor(C 1.:lS33 STATE ZIP 31. WITNESS TO CEREMONY \ NAME (PRINT) ~' SIGNATURE~ NAME (PRINT) SIGNATURE. DOH-QR 10312006\