Loading...
103 + !z W rJl W III C ...J ::> o :I: rJl Z o ~ rJl c; W 0:: W C!l < ii: 0:: ~ u. o ~ () ii: j::: 0:: W () W 0:: W :I: ;;= rJl rJl W 0:: C C < it 13 W Q. rJl ::> z C z < Iii W ~ + ~:i:z i=t::Q W;;=~ a:~_ ....WZ rJl...J::! ::>()W ::!C!lc5 !zf:ill ~~~ ttOCIJ 0....> wlJj~ t-ffitn ~gf: STATE OF NEW YORK DEPARTMENT OF HEALTH AFFIDAVIT, LICENSE and CERTIFICATE OF MARRIAGE FROM THE GROOM FIRST Ja~I~O~E Earl GO~~~E~SURNAME 1ST 0 0 1ST '0 0 ~ 0 0 ~ 0 0 ~ 0 0 ~ 0 0 4TH 0 0 4TH 0 0 I duly swe!lr/affirm, dep.ose and say, that to the best of my knowledge and belief that the information I provided is true and that I declare that no legal impediment exists as to my nght to enter Into the lage te. 21. SIGNATURE OF GROOM~ 22. SIGNATURE OF...BRIDE~ ~.c1,(";.~~ ~~ 23. SUBSCRIBED AND SWORN TOAFFlRMED BEFORE ,:}SEC RENTN E USE CURRENT NAME 07/21/2006 SIGNATURE OF TOWN OR CITY CLERK ~ DATE This license authorizes the marriage in New York State of the bride and groom named above by any person authorized by New York Domestic 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 or subsequent ceremony. 24. TOWN OR c~BLfiWc. Masterson 25. A. SOLEMNIZATION PERIOD BEGINS NAME (PRINl) COUNTY Dutchess CITYITOWN Wappinger ~~:f; 1368 . ~5~I:J~R 1 03 1. A. FULL NAME Q. N B. BIRTH NAME. IF DIFFERENT C. SURNAME AFTER MARRIAGE (OPTIONAl. SEE REVERSE) 226 41 9312 D. SOCIAL SECURITY NUMBER -- 2. RESIDENCE A. Pennsylvania B. Alleahenv (STA!iI (COU~) C. CHECK ONE I!I CITY 0 TOWN 0 VILLAGE ~~~CIFY Pittsburgh D. STREET ADDRESS 2043 Wightman St. AptA6 ZIP 15217 E. IS RESIDENCE WITHIN LIMITS Of CITY OR INCORPORATED VILLAGE? rj' YES 0 NO 3. A. AGE 24 3B. DATE OF BiRTH 01 / 24 / 1982 MONTH DAY YEAR 4. EMPLOYMENT A. USUAL OCCUPATION Software Engineer B. TYPE OF INDUSTRY OR BUSINESS Vivisimo, Inc. 5. PLACEOFBIRTH Pittsburgh, Pennsylvania (CrrY. STATE I COUNTRY IF NOT USA) 6. FATHER A. NAME James J. Godesky B. COUNTRY OF BIRTH USA 7. MOTHER A. MAIDEN NAME Patricia Finucan B. COUNTRY OF BIRTH USA B. NUMBER OF THIS MARRIAGE 1 9. PREVIOUS MARRIAGES A. NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY D1V08CE CIVil ANN~LMENT DEA(f (2) 0 DEA~ B. HOW DID LAST MARRIAGE END? (3) 0 DIVORCE C. DATE LAST MARRIAGE ENDED? (3) 0 ANNULMENT / / MONTH DAY YEAR D. ARE ANY FORMER SPOUSE(S) ALIVE? 0 YES 0 NO 10. IF PREVIOUSLY DIVORCED OR ANNULlLED, PROVIDE THE FOllOWING INFORMATION DATE OF DECREE PLACE ISSUED AGAINST WHOM (MONTH, DAY, YEAR) (CrrY/COUNTY. STATE/COUNTRY. IF NOT USA) SELF SPOUSE w en z w o ::; ~ { SEAL } ~ SIGNATURE ~ MAI~~ STREET I CERTIFY THAT I SOLEMNIZED THE MARRIAGE OF THE PER- SONS NAMED ABOVE ON THE DATE AND AT THE TIME AND PLACE INDICATED. CITYrrOWN 26. SOLEMNIZATION OCCURRED TIME MO. DAY YEAR STATE 27. TYPE OF CEREMONY oX RELIGIOUS o OTHER, SPECIFY 10 CIVil 28. PLACE WHERE MARRIAGE OCCURRED I A. STATE NEW YORK B. COUNTY DIC+6't,~$ c. lOCATION OF CEREMONY (CHECK ONE AND SPECIFY) ;J CITY OF 0 TOWN OF 0 VilLAGE OF SPECIFY ?'''~~f~e- TITLE I STATE FilE NUMBER (THIS SPACE FOR STA TE USE ONL Y) I L 0 SUPPLEMENTAL FILE FROM THE BRIDE Giulianna Maria Lamanna MIDDLE CURRENT SURNAME ~ 11. A. FULL NAME FIRST B. BIRTH NAME (MAIDEN NAME), IF DIFFERENT C. SURNAME AFTER MARRIAGE Lamanna (OPTIONAL - SEE REVERSE) 114-70-1260 D. SOCIAL SECURITY NUMBER 12. RESIDENCEA. Pennsvlvania B. AlleQheny (STAT'iI (COUNTY) C. CHECK ONE C!f CITY 0 TOWN 0 VilLAGE ~~CIFY Pittsburgh D. STREET ADDRESS 2043 Wightman 81. AptA6 ZIP 15217 E. IS RESIDENCE WITHIN LIMITS OF CITY OR INCORPORATED VILLAGE? ~ YES 0 NO 13. A. AGE 19 3B. DATE OF BIRTH 08 /04 /1'986 MONTH DAY YEAR 14. EMPLOYMENT A. USUAL OCCUPATION Writer B. TYPE OF INDUSTRY OR BUSINESS Self-employed 15. PLACE OF BIRTH Bronxville, New York (CITY. STATE I COUNTRY IF NOT USA) 16. FATHER A. NAME Domenic A. Lamanna . B. COUNTRY OF BIRTH Italy 17. MOTHER A. MAIDEN NAME Patricia V. Gordon B. COUNTRY OF BIRTH U 8 A 1 18. NUMBER OF THIS MARRIAGE 19. PREVIOUS MARRIAGES A. NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY DIV8RCE CIVil AN~LMENT D~H 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) (CITYICOUNTY. STATE/COUNTRY. IF NOT USA) SELF SPOUSE (3) 0 ANNULMENT (2) 0 DEATH / / " - YEAR YEAR MONTH YEAR 2006 09 19 2006 ZIP ,tf ,. ni ~ feY" 7 /1. -vI", V' I t(,l)/ NAME (PRINl) SIGNATURE~ 31. WITNESS TO C