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COUNTY Dutchess
CITYfTOWN Wappinger
~~J~~c: 1368 .
~~~':~~R 91
STATE OF NEW YORK
DEPARTMENT OF HEALTH
AFRDAVIT,UCENSEand
CERTIFICATE OF
MARRIAGE
FROM THE GROOM
Joseoh DiPressi
MIDDLE CURRENT SURNAME
I
STATE ALE NUMBER
(THIS SPA(JE FOR STATE USE ONLY)
I
1. A. FULL NAME
L 0 SUPPLEMENTAL FILE
FROM THE BRIDE
Joanne Scaplehorn
FIRST MIDDLE CURRENT SURNAME
B. BIRTH NAME (MAIDEN NAME), IF DIFFERENT Grasso
C. SURNAME AFTER MARRIAGE DiPressi
(OPTIONAL - SEE REVERSE) 060-38-6163
D. SOCIAL SECURrTY NUMBER
12. RESIDENCE A. New York B. Dutchess
(STATE)..; (COUNTY)
C. CHECK ONE 0 CITY ~ TOWN 0 VILLAGE
~~~CIFY Wapf>in~er
D. STREET ADDRESS 26 Macfarlane Road ZIP 12590
E. IS RESIDENCE WITHIN LIMITS OF CrTY OR INCORPORATED VILLAGE? 0 YES 6 NO
05 /12 /1'948
DAY YEAR
~
FIRST
11. A. FULL NAME
Q.
N
B. BIRTH NAME, IF DIFFERENT
C. SURNAME AFTER MARRIAGE
(OPTIONAL - SEE REVERSE) 074-34-9830
D. SOCIAL SECURrTY NUMBER
2. RESIDENCEA. New York B. Dutchess
(STATE) (COUNTY)
C. CHECK ONE 0 CITY ~ TOWN 0 VilLAGE
~~CIFY Wappinger
D. STREET ADDRESS 26 Macfarlane Road
ZIP 12590
E. IS RESIDENCE WITHIN LIMITS OF CrTY OR INCORPORATED VilLAGE? 0 YES ~ NO
3. A. AGE 61 3B. DATE OF BIRTH 01 / 30 / 1945
MONTH DAY YEAR
13. A. AGE 58
3B. DATE OF BIRTH
MONTH
4. EMPLOYMENT
A. USUAL OCCUPATION Retired
B. TYPE OF INDUSTRY OR BUSINESS
5. PLACE OF BIRTH Bronx, New York
(CITY, STATE I COUNTRY IF NOT USA)
14. EMPLOYMENT
A. USUAL OCCUPATION Retired
B. TYPE OF INDUSTRY OR BU~INESS
15. PLACE OF BIRTH Bronxville, New York
(CITY. STATE I COUNTRY IF NOT USA)
6. FATHER
16. FATHER
A. NAME Salvatore DiPressi
B. COUNTRY OF BIRTH USA
7. MOTHER
A. MAIDEN NAME Elsie Consiglio
B. COUNTRY OF BIRTH USA
2
8. NUMBER OF THIS MARRIAGE
A. NAME Joseph Grasso
'B. COUNTRY OF BIRTH USA
17. MOTHER
A. MAIDEN NAME Fanny LaManna
B. COUNTRY OF BIRTH USA
,
18. NUMBER OF THIS MARRIAGE
9. ~~~~~~~RM&'~~"E~T8us MARRIAGES WHICH ENDED BY 19. ~~~~~~~R~FR~~"E~Tgus MARRIAGES WHICH ENDED BY
DIVOqCE CIVil ANN~LMENT DEyr DIVfRCE CIVIL AN~LMENT
~ ~
B. HOW DID LAST MARRIAGE END? (3) 0 DIVORCb (3) 0 A~~LMENT 1 ~WEATH B. HOW DID LAST MARRIAGE END? (3) 0 DIVORtT4 (3) D1e,NUlMENT 2dBB DEATH
C. DATE LAST MARRIAGE ENDED? 5 / / C. DATE LAST MARRIAGE ENDED? / /
MONTH~ DAY YEAR MONTH~ 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 ANNULLED, PROVIDE THE FOLLOWING INFORMATION
DATE OF DECREE PLACE ISSUED AGAINST WHOM DATE OF DECREE . PLACE ISSUED AGAINST WHOM
1ST (~~g;I1~ PbTI9h~epsie~1J~~t~oSrk ~lFSPOr1 1ST (~~19'a?201j~ vJh~O~arnAs~~'%~~SA) ~lFSPOgE
2ND 0 0 2ND 0 0
3RD 0 0 3RD 0 0
4TH 0 0 4TH 0 0
~~~~ ~~':;~hn~~j,~~~~~ :,nd knO~edge and belief that the information I provided ~iS true and that I declar~ L n.: 1~9~1 ;~e:m:n~ eXi~ts
21. SIGNATURE OF GROOM~ 22. SIGNATURE OF BRIDE~ ~
23. SUBSCRI8ED AND SWO TO/AF MED BEFORE ~~E CU '/ J I .. USE C(JRRENT NA 07/11/2006
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 Yorl< Domestic
Relations Law ~11 to perform marriage ceremonies within New Yorl< 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 CI~8tiWc. Masterson 25. A. SOLEMNIZATION PERIOD BEGINS
{ } NAME (PRINT)
SEAL SIGNATURE~~~ e. ~~~ DATE 07/11/200 TIME MONTH YEAR MONTH
MAI~ Mi~sh Rd~M'ppinger Falls, NY 12590 07 09
~
DEtfH
YEAR
STREET
I CERTIFY THAT I SOLEMNIZED
THE MARRIAGE OF THE PER-
SONS NAMED A80VE ON THE
DATE AND AT THE TIME AND
PLACE INDICATED.
STATE
27. TYPE OF CEREMONY
o 0 RELIGIOUS
9 0 OTHER, SPECIFY
29. OFFICIANT
NAME (PRINT)
28. PLACE WHERE MARRIAGE OCCURRED
A. STATE NEW YORK B. COUNTY'd)lJrr~
C. LOCATION OF CEREMONY
(CHECK ONE AND SPECIFY)
o CITY 0' 0 >OWN De ~,O~ ,~
SPECIFY 1.4/ A-PP I w6 'S:4"2& ~
NAME (PRINT)
SIGNATURE~
ZIP
31. WITNESS TO CEREMONY
NAME (PRINT) ~.-<oJ'".f/' .
SIGNATURE~ ~