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~T ATE OF NEW YORK
DEPARTMENT OF HEALTH
.., 111. I c: riLe NUMDCft
(TH/S SPACE FOR STATE USE ONLY)
AF:F.IDA VIT., LICENSE and
CERTIFICATE OF
MARRIAGE
fROM THE GROOM
RR~rt r-Iair ~~~r
'U
23. SUBSCRIBED AND 'SWORN TO/AFFIRMED .BEFORE :ME
SIGNATURE OF TOWN 'OR CITY CUERK,~
vhis lioenseauthorizes ,the :marril\ge in New York State 01 the ride and groom named above by any person authorized by New York Domestic
'Relations:law '~1" to perform marriage ceremonies within.New York Stale. THIS LICENSE VAUD IN NEW YORK STATE ONLY.
o II checked, this license is to .beusedonlylor the purpose ola second or subsequent ceremony.
,-I'-.. '24. TOWN OR CITY CLERK 25. A. SOLEMNIZATION PERIOD BEGINS
{, ,:}, 'NAME (P, RINT) John C. Masterson TIME MONTH YEAR MONTH
SEAL SIGNATURE ~ DATE 06/07/200
: '-v-I 'MAILlNGADidEcis bush Rd in er Falls NY 12590 04:3~~ 06 08 2006 08 06 2006
STREET CITYITOWN STATE ZIP
~~~~~Ri~~~ IO~Oi~~N~Zi~ 26. SOLEMNIZATION OCCURRED 2\ ~PE OF CEREMONY
SONS NAMED ABOVE ON THE TIME MO. DAY 'YEAR OJ('RELlGIOUS 1 0 CIVIL
'DATE AND .AT THE TIME AND ..,,'" /\ M / / Z A /
Pl.'ACEINDICATED. . J U PM Co, '" 0 9 0 OTHER, SPECIFY
29. OFFICIANT k,; 7TH W' -r'LJ WI L"'/l1 /'Ve lit:
:NAME (PRINT). _ . I rJ I . ,)' TITLE J-'
SIGNATURE~ /~ V~. DATE
""~:;:-j':,"" )Z"JI'..., 'J? 6 ~/'6y~ /I 7.' / :4"! [)
STREET CITYfroWN /1 STATE
-30. WITNESS TO CERE 0
COUNTY Dutchess
C1TYrrowN. Wappinger
.~~~~ 1368
~~~~R 70
1. A. FULliNAME
CURRENT SURNAME
"-
N
8. 1l11mi NAME, 'IF 'DIFFERENT
'C. SURINAME ,AFTER ,MARRIAGE
(lJP'rlONAl. - SEE iREIlERSE)
0. SOOIALSECURlITYNWMBER 068-60-2981
:2 RESII)ENCE;A, NplM York B.. nlltr., h. P.~~
'l!lmer ,(COli/N'lY)
c. 'OHE{)K~E 0 CITY!i!'\ TOWN 0 VIl.lAGE
lAND .
SRECIRf. Wappinger
-D. S1I'REETADI)RESS 20 Daisy Lane ZIP 12590
E 'IS RESIDENCE WITHIN LIMITS 'Gf CITY OR :INCORPORAlED VJLlJIGE? 0 VES ~ NO
n, /'7 / 1962
,MONTH DAY YEAR
3. A.AGE 44
3B. DAl'E OF BIRTH
>4. EMPLOYMENT
A. USUAL OCCUPATION ~p.If_p.m ployp.d
'8. TYPE OFJNDl!JS'I1RY ORiBUSINESS Ceramic Tile Installer
, 5. PLACE 'OF iBlRl1H l.:alp.donia, Vermont
-(CITY, gATE / COI!INTRY IF 'NOT USA)
c. FA'IHER
A, ~AME Robert Melvin Taylor
!:l, OOUNT>RY 'OF BIRTH USA
7_ MOTHER
A. 'MAIDEN NAME .Joanne Loretta Halpin
'B.COUlNTRV OF 'BIRT+1 USA
ll. NUMBER OF THIS ,MARRIAGE. 2
~. PREVIOUS 'MARRIAGES
A. NUMBER OF PREVIOlJS MARRIAGES WHICH ENDED :BY
DIVORCE 'OIVIL ANNULMENT DEATH
100
:a. 'HOW DID LAST MARRIAGE END? (3) cY'DIVORCE (3) 0 ANNULMENT (2) o DEATH
'c. DATE,LASTiMARRIAGEEIIIDElll? 02/ 26 / 1997
MONTH DAY YEAR
D. ARE ANY 'FORMER SPDUSE(S) ALIVE'? ~S 0 NO
10. IF PREVIOUSLY DIVORCED DR ANNULLED, PROVIDE THE FOLLOWING INFORMATION
DATE OF DECREE 'PLACE !ISSUED AGAINST WHOM
(MONl'H, 'DAY, YEAR) (CITY/COUNTY, 'STATElCOUNTRY,i1F'NOTI!lSA) SELF SPOUSE
02126/1997 Poughkeepsie. New York d"
21. SIGNATURE'OF'GROOM.
W
I-
<C
o
u::
j::
I:t
W
o
11. A.
L 0 SUPPLEMENTAL FILE
FROM THE BRIDE
FULl NAME Christine Marie Garrett
ARST MIDDLE
CURRENT SURNAME
~
B. BIRTH.NAME (MAIDEN NAME), IF DIFFERENT
C, SURNAME AFTER MARRIAGE T avlor
(OPTIONAL - SEE REVERSE) 562-63>-7450
O. SOCIAL SECURITY NUMBER
12, RESIDENCE A. New York B. Dutchess
(STATE) J (COUNTY)
C. CHECK ONE 0 CITY L:J TOWN 0 VILLAGE
~~CIFY Wap~in~r
D, STREET ADDRESS 0 alsy Lane
ll::J!:IO
ZIP
.,
DVESONO
:J-068
YEAR
E. .IS RESIDENCE WITHIN UMITS OF CITY OR INCORPORATED VILlJIGE?
13, A. AGE 37 3B. DATE OF BIRTH 12 )[7
MONTH DAY
14. EMPLOVMENT
A. USUAL OCCUPATION Medical
B. TYPE OF INDUSTRY OR BUSINESS OrthopediC Spec. or H. V.
15. PLACE OF BIRTH Turtock, California
(CITY, STATE / COUNTRY IF NOT USA)
16. FATHER
A. NAME Robert Anthony Garrett
B. COUNTRY OF BlRnH USA
17. 'MOTHER
A. MAIDEN NAME Kathryn Irene.Kerns
B. COUNTRY OF BIRTH USA
2
18. NUMBER OF THIS MARRIAGE
19. PREVIOUS MARRIAGES
A. NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY
DIVfRCE CIVIL AN'tYLMENT
wi'
B. HOW DID lAST MARRIAGE ENO? (3) 0 DIVDRCf (3)D~ULMENT 2db2 DEATH
C.DATE LAST MARRIAGE ENDED? 1 / /
MONTH.,jtI DAY YEAR
D. ARE ANY FORMER SPOUSE(S) AUVE? 0 YES 0 NO
20. IF PREVIOUSLY DIVORCED OR ANNULLED, PROVIDE THE FOLLOWING INFORMATION
DATE OF DECREE PLACE ISSUED AGAINST WHOM
(MONTH. DA~ YEA'll (CITYICOVNT", STATF/COlJtITIlY, IF \!9T~) SELF SPouJf
1ST 11/251L00l PoughKeepSie, New YOrK 0 0
2ND 0 0
~ 0 0
4TH 0 0
tile ,information I provid . j true and that I declare that no legal i diment exists
\
DEIflH
DATE
J
06107/2006
YEAR
28. PLACE WHERE MARRIAGE OCCURRED ! _ .
. 'lJJVo~
A. STATE NEW YORK B. COUNTY <4/
C. LOCATION OF CEREMONY
(CHECK ONE ~ND SPECIFY)
o CITY OF )2K"TOWN OF 0 VILLAGE OF
11 -
SPECIFY {/,.! r;?J 7-{fY'