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STATE OF NEW YORK
DEPARTMENT OF HEALTH
AFFIDA VIT, LICENSE and
CERTIFICA TE OF
MARRIAGE
FROM THE GROOM
1. A. FULL NAME -PaufsPhriltol:Jbr~J:eluso
COUNnOutcbess
cm'rrowN\Napplng<<
DISTRICt
NUMBER1368
REGISTE'2sj
NUMBER
I~
CURRENT SURNAME
B. BIRTH NAME, IF DIFFERENT
C. SURNAME AFTER MARRIAGE
(OPTIONAL. SEE REVERSE,l...._
D. SDCIALSECURITYNUMBER ~o..31~
2. RESIDENCE A.N.A~pr:Ic B. ~
C. CHECK ONE 0 CITY 0 TOW~ VILLAGE
~~gcIFY WappiQgeJS Falls
D. STREET ADDREss108 Oak Parle Ter.re~ ZIP 1~QI't
E. IS RESIDENCE WITHIN LIMITS OF CITY OR INCORPORATED VILLAGE? 0 YEs.lb NO
JJ-H /2iAY ~.
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STATE FILE NUMBER
(THIS SPACE FOR STA TE USE ONL Y)
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3. A. AGE3(;
4. EMPLOYMENT
3B. DATE OF BIRTH
L 0 SUPPLEMENTAL FILE
A. USUAL OCCUPATION Catpenter
B. TYPE OF INDUSTRY OR BUSINESSUnemJ;lloyed
5. PLACEOFBIRT~R~F~)Yoac
6. FATHER
A. NAME Michael Peluso
B. COUNTRY OF BIRTHU SA
7. MOTHER
A. MAIDEN NAME Lerelta M~-o
B. COUNTRY OF BIRTH USA
8. NUMBER OF THIS MARRIAGE 1
9. PREVIOUS MARRIAGES
A. NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY
DIVORCE CIVIL ANNULMENT
DEATH
o
FROM THE BRIDE
11. A. FULL NAMENr.oI~ PIIAlfiMlAni (,..AffArAlln
FIRST MIDDLE
CURRENT SURNAME
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B. BIRTH NAME (MAIDEN NAME), IF DIFFERENT
c. SY~~*~M~~~~~Wt~~rJ'!uso
D. SOCIAL SECURITY NUMBER ~r~'V71
12. RESIDENCE-N~TX~ B~
C. CHECK ONE 0 CITY 0 TOWN ~ VILLAGE
~~gcl~~ ~Alhl
O. STREET ADDRES~08 Oak PArk TAlTaM zlf!'I2590
E. IS RESIDENCE WITHIN LIMITS OF CITY OR INCORPORATED VILLAGE? 0 YESItJ NO
13. A. AGOO 13.B. DATE OF BIRTH ~ONTH t:ef DAY 191~EAR
14. EMPLOYMENT
A. USUAL OCCUPATIO~
B. TYPE OF INDUSTRY OR BUSINESd Jno's R~urent
15. PLACE OF BIRTfKalhJA I-Mw.II
"~~IFNOTUSA)
16. FATHER
A. NAM~icbaell nt lis ('.sIIf~~'n
B. COUNTRY OF BIRT' J S 4
17. MOTHER
A. MAIDEN NAMePenny Price
B. COUNTRY OF BIRn I S A.
lB. NUMBER OF THIS MARRIAGE 1
19. PREVIOUS MARRIAGES
A. NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY
DIVORCE CIVIL ANNULMENT
o 0
DEATH
o
B. HOW DID LAST MARRIAGE END? (3) 0 DIVORCE (3) 0 ANNULMENT (2) 0 DEATH
C. DATE LAST MARRIAGE ENDED? / /
MONTH DAY YEAR
D. ARE ANY FORMER SPOUSE(S) ALIVE? 0 YES 0 NO
20. IF PREVIOUSLY DIVORCED OR ANNULED, PROVIDE THE FOLLOWING INFORMATION
DATE OF DECREE PLACE ISSUED AGAINST WHOM
(MONTH, DAY, YEAR) (CITY, STATE/COUNTRY, IF NOT USA) SELF SPOUSE
o 0 1ST 0
o 0 ~D 0
o 0 3RD 0
o 0 4TH 0
wledge and belief that the information I provided is true and that I declare that no legal impedimen
U
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{ } NAME (PRINT)
SEAL SIGNATURE ~ ~
MAILING ADDRESS
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I CERTIFY THAT I SOLEMNIZED
THE MARRIAGE OF THE PER.
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DATE AND AT THE TIME AND
PLACE INDICATED.
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This license authorizes the marriage in New York State f the bride and groom named above by any person authorized
Relations Law ~11 to perform marriage ceremonies within N 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 CITY CLERK 25. A. SOLEMNIZATION PERIOD BEGINS
B. HOW DID LAST MARRIAGE END? (3) 0 DIVORCE (3) 0 ANNULMENT (2) 0 DEATH
C. DATE LAST MARRIAGE ENDED? / /
MONTH DAY YEAR
D. ARE ANY FORMER SPOUSE(S) ALIVE? 0 YES 0 NO
10. IF PREVIOUSLY DIVORCED OR ANNULED, PROVIDE THE FOLLOWING INFORMATION
DATE 01' DECREE PLACE ISSUED AGAINST WHOM
(MONTH, DAY, YEAR) (CITY, STATE/COUNTRY, IF NOT USA) SELF SPOUSE
by New York Domestic
TIME
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MONTH
YEAR
MONTH
YEAR
19
2006
06
17 2006
28. PLACE WHERE MARRIAGE OCCURRED
STATE NEW YORK B. COUNT'l ~--k k.:.$,;
LOCATION OF CEREMONY
(CHECK ONE AND SPECIFY)
o CITY OF M'OWN OF
SPECIFY 1,. )6., l'.....D "
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o VILLAGE OF
1A.k' f' r
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TOWN OF WAPPINGER
TOWN CLERK
CHRIS MASTERSON
SUPERVISOR
JOSEPH RUGGIERO
TOWN CLERK'S OFFICE
20 MIDDLEBUSH ROAD
WAPPINGERS FALLS. NY 12590
(845) 297-5771
FAX: (845) 298-1478
TOWN COUNCIL
VINCENT BETTINA
MAUREEN McCARTHY
JOSEPH P. PAOLONI
ROBERT L. VALDATI
Memo
To: Joseph Ruggiero
From: Chris Masterson
Re: Peluso/Cafferello Marriage
1. Married on April 14, 2006 by Reverend Palow, Jr. without a marriage license
in the City of Poughkeepsie at the Hotel Grand.
2. Applied for a marriage license after the fact on April 19, 2006.
3. Witness signed in black ink. Reverend signed in blue ink. Time of marriage
was omitted. I called couple and the reverend and they all agreed the time of
marriage was 5:30. I wrote 5:30 in black ink. The rest was done by someone
else.
4. The April 20, 2006 marriage was done over the phone by Reverend Palow
per bride.
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1 A. FUll NAME
STATE OF NEW YORK
DEPARTMENT OF HEALTH
AFFIDAVIT, LICENSE ani -
CERTIFICATE OF
MARRIAGE
FROM THE GROOM
Paul Christopher Peluso
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COUNTY~~
CITMO'1: Wappinger
~~~~~CRT 368
REGISTER 29
NUMBER
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FIRST
CURRENT SURNAME
1140 I
MIDDLE
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B BIRTH NAME, IF DIFFERENT
C SURNAME AFTER MARRIAGE
(OPTIONAL. SEE REVERSE(J9().ID-31;:KJ
o SOCIAL SEc;veITY NUMJlER
2 RESIDENCE A NeW Y ark B. Dutchess
(STATE) ., (COUNTY)
C CHECK 0Ni'. L D. CITY 0 "J;<2W! 1] VILLAGE
AND vvappngers ,..11115
SPECIFY 108 Oak Park Terrace
D. STREET ADDRESS
12.
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E. IS RE3'6NCE WITHiN LIMITS OF CITY OR INCORPORATED 1'11LAGE? /)00 YES ~~
3. A. AGE 38. DATE OF BIRTH ~ L!!
MONTH DAY YEAR
ZIP
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4. EMPLOYMENT
A. USUAL OCCUPATION Carpenter
5 :~A;::;:I~NT:~~~e~=~
(CITY, STATE/COUNTRY IF NOT USA)
STATE FILE NUMBER
(THIS SPACE FOR STA TE USE ONL Y)
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A. NAME Michael Peluso
B. COUNTRY OF BIRTH USA
15. PLACE OF BIRTH KalIU8, H8WII1
(CITY, STATE/COUNTRY IF NOT USA)
16. FATHER Michael Louis Carrerello
A. NAME _ _ _ _ ..
~
7. MOTHER
A. MAIDEN NAME Loretta Mazza
8. COUNTRY OF BIRTH U ~ A
8 NUMBER OF THIS MARRIAGE
9 PREVIOUS MARRIAGES
A NUMBER OF PREVIOUS MARRIAGES WHICH EN[
DIV~CE CIVIL A1)ULME
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8. HOW DID LAST MARRIAGE END? (3) 0 DIVORCE
C. DATE LAST MARRIAGE ENDED?
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MONTH
D. ARE ANY FORMER SPOUSE(S) ALIVE? 0 YES
10. IF PREVIOUSLY DIVORCED OR ANNULED, PROVIDE
DATE OF DECREE PLACE ISSUED
(MONTH, DAY, YEAR) (CITY, STATE/COUNTRY, IF N'
1ST
2ND
3RD
4TH
I, being duly sworn, depose and say, that to the best
as to my right to enter into the marria tate.
21. SIGNATURE OF GROOM ~
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{ SEAL }
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23 SUBSCRIBED AND SWORN TO BEFORE ME
SIGNATURE OF TOWN OR CITY CLERK~
This license authorizes the marriage in New York St
Relations Law ~ 11 to perform marriage ceremonies withi
o If checked, this license is
24. TOWN OR CIT.Y LER
rice
llAGES WHICH ENDED BY
CIVIL A"OULMENT
D1)TH
(3) 0 DIVORCE
)?
(3) 0 ANNULMENT
/ /
(2) 0 DEATH
MONTH DAY YEAR
I ALIVE? 0 YES 0 NO
JNULED, PROVIDE THE FOLLOWING INFORMATION
PLACE ISSUED AGAINST WHOM
.ATE/COUNTRY. IF NOT USA) SELF SPOUSE
o
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DATE
e of the bri e and groom named above by any person authorized by New York Domestic
ew York State. THIS LICENSE VALID IN NEW YORK STATE ONLY.
be used only for the purpose of a second or subsequent ceremony.
25. A. SOLEMNIZATION PERIOD BEGINS
NAME (PRINT)
, DATE 04I18f2006
'lj Rd, We. Falls NY 12590
ppnger ,
TIME
25 B. SOLEMNIZATION PERIOD
ENDS AT MIDNIGHT ON
MONTH
YEAR
MONTH
DAY
YEAR
CITY !TOWN
ZIP
AM 04
12:27 PM
17 2006
STREET
I CERTIFY THAT I SOLEMNIZED
THE MARRIAGE OF THE PER.
SONS NAMED ABOVE ON THE
DATE AND AT THE TIME AND
PLACE INDICATED
STATE
27. l)'PE OF CEREMONY
o ~ RELIGIOUS
9 0 OTHER, SPECIFY
TITLE Kev'~~.J..
DATE ~ ~ ~D {)lp
RI 0
26. SOLEMNIZATION OCCURRED
TIME MO. DAY YEAR
1 [] CIVIL
5.~(J~~ 0
STATE
31.
NAME (PRINT)
SIGNATURE ~,
19
2006
08
28. PLACE WHERE MARRIAGE OCCURRED
A. STATE NEW YORK B. COUNTY ~
C. LOCATION OF CEREMONY
(CHECK ONE AND SPECIFY)
o CITY OF rJ/ TOWN OF [J VILLAGE OF
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STATE OF NEW YORK
DEPARTMENT OF HEALTH
AFFIDAVIT, LICENSE and
CERTIFICATE OF
MARRIAGE
FROM THE GROOM
PaU Ctuistopher Peluso
COUNTY Dutchess
. CI1'"I!TOV:J.~nger
DISTRICTl
NUMBER
REGISTER29
NUMBER
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A FULL NAME
FIRST
MIDDLE
CURRENT SURNAME
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B BIRTH NAME. IF DIFFERENT
C SURNAME AFTER MARRIAGE
(OPTIONAL. SEE REVERSE090-7D-3130
D SOCIAL SEi\teWV&k ...
2. RESIDENCE A. B. DuIcheI8
(STATE) ., (COUNTY)
C CHECK O"faa-...JJ CITY D.;rQW!:i TI VILLAGE
AND VYIIppngelS ,._
SPECIFY 108 08k Perk T1
D. STREET ADDRESS errace
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IS RESIDENCE WITHIN LIMITS OF CITY OR INCORPORATED V1LAGE? 0
3 A. AGE36 38. DATE OF BIRTH 1 ~
MONTH DAY
4. EMPLOYMENT
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B. TYPE OF IND~~ Unem~
5. PLACE OF BIRTH I NM
(CITY, STATE/COUNTRY IF NOT USA)
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A. NAME Michael Peluso
B. COUNTRY OF BIRTH USA
7. MOTHER
A. MAIDEN NAME l.oreU8 u-.
B COUNTRY OF BIRTH U S A
8. NUMBER OF THIS MARRIAGE 1
9. PREVIOUS MARRIAGES
A. NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY
DIV~CE CIVIL A"6ULMENT
8. HOW DID LAST MARRIAGE END?
(3) 0 DIVORCE
(3) 0 ANNULMENT
/ /
C. DATE LAST MARRIAGE ENDED?
12S90
ZIP .,
Y*
YEAR
D~TH
(2) 0 DEATH
MONTH DAY
D. ARE ANY FORMER SPOUSE(S) ALIVE? 0 YES 0 NO
10, IF PREVIOUSLY DIVORCED OR ANNULED, PROVIDE THE FOLLOWING INFORMATION
DATE OF DECREE PLACE ISSUED AGAINST WHOM
(MONTH, DAY. YEAR) (CITY, STATE/COUNTRY, IF NOT USA) SELF SPOUSE
1 ST 0 0 1 ST 0 0
2ND 0 0 2ND 0 0
3RD 0 0 3RD 0 0
4TH 0 0 4TH 0 0
I, being duly sworn, depose and say, that to the best of my knowledge and belief that the information I provided IS true and thal I declare that f)o iegallmpedlmefJ1?ists
as to my fight to enter Into the marriage state, , i / ,>, /' j; If,
21 SIGNATUREOFGROOM~' " 22. IGNATUREOFBRIDE~'/ ,. t "''--U
23. SUBSCRIBED AND SWORN TO BEFORE ME USE CURRENT NAM 0411812006
SIGNATURE OF TOWN OR CITY CLERK ~ DATE
This license authorizes the marriage in New York St e of the bri e and groom named above by any person authorized by New York Domestic
Relations Law ~11 to perform marriage ceremonies withi ew York State. THIS LICENSE VALID IN NEW YORK STATE ONLY.
o If checked, this license is be used only for the purpose of a second or subsequent ceremony.
24. TOWN OR CI Y LE;R 25. A. SOLEMNIZATION PERIOD BEGINS
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DATE 0411812006
Rd, Wappinger Falls. NY 12590
17 2008
STREET
I cHlTIFY THAT I SOLEMNIZED
T~ MAR~IAIGE OF THE PER
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PLACE INilI~ATE9, ~ '. _ _ .' "
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26. SOLEMNIZATION OCCURRED
TIME MO. DAY YEAR
. AM
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NAME (PRINT)
SIGNATURE ~
DOH-98 (11/98)
YEAR
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STATE FILE NUMBER
(THIS SPACE FOR STATE USE ONL Y)
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11. A.
FROM THE BRIDE
FULL NAME Neale Pualeilani CaffereIIo
FIRST MIDDLE
CURRENT SURNAME
B. BIRTH NAME (MAIDEN NAME), ~ERENT
C SURNAME AFTER MARRIAGE uso
(OPTIONAL. SEE REVERSE6/>04-~( (1
D. SOCIAL S~V;t ...
12. RESIDENCE A, B DutclleI8
(STATE) ., (COUNTY)
C. ~~6CK ~Cj:.N 0 VILLAGE
SPECIFY 108 Oak: P8t'k: Ten~ 12S90
D STREET ADDRESS ZIP .;
E, IS RE!JNCE WITHIN LIMITS OF CITY OR INCORPORA1~ VILLAGE-:'A 0 1~~ NO
13. A. AGE 13,8. DATE OF BIRTH L!.. ~
MONTH DAY YEAR
14. EMPLOYMENT
A. USUAL OCCUPATION VV8itress
8. TYPE OF INDg OR B~~ l.Jno'S Rest8urant
15. PLACE OF BIRTH us.
(CITY, STATE/COUNTRY IF NOT USA)
16. FATHER MIchael louis C81rerello
A. NAME
B COUNTRY OF BIRTJJ SA
17. MOTHER
A. MAIDEN NAME Penny PrIce
B, COUNTRY OF B~ S ~
18. NUMBER OF THIS MARRIAGE
19. PREVIOUS MARRIAGES
A. NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY
DbORCE CIVIL A~ULMENT
OijTH
8. HOW DID LAST MARRIAGE END?
(3) 0 DIVORCE
(2) 0 DEATH
C. DATE LAST MARRIAGE ENDED?
(3) 0 ANNULMENT
/ /
MONTH DAY
D. ARE ANY FORMER SPOUSE(S) ALIVE? 0 YES 0 NO
2D. IF PREVIOUSLY DIVORCED OR ANNULED, PROVIDE THE FOLLOWING INFORMATION
DATE OF DECREE PLACE ISSUED AGAINST WHOM
(MONTH, DAY, YEAR) (CITY, STATE/COUNTRY, IF NOT USA) SELF SPOUSE
YEAR
TIME
MONTH
YEAR
MONTH
YEAR
ZIP
AM 04
12:21 PM
19
2008
08
STATE
27. TYPE OF CEREMONY
o 0 RELIGIOUS
9 0 OTHER, SPECIFY
TITLE
DATE
28. PLACE WHERE MARRIAGE OCCURRED
10 CIVIL
A, STATE NEW YORK B, COUNTY
C, LOCATION OF CEREMONY
(CHECK ONE AND SPECIFY)
o CITY OF 0 TOWN OF 0 VILLAGE OF
SPECIFY
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ZIP
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STATE OF NEW YORK
DEPARTMENT OF HEALTH
AFFIDAVIT, LICENSE and
CERTIFICATE OF
MARRIAGE
FROM THE GROOM
Paul Christopher Peluso
DATE
e of the bri e and groom named above by any person authorized by New York Domestic
ew York State. THIS LICENSE VALID IN NEW YORK STATE ONLY.
be used only for the purpose of a second or subsequent ceremony.
25. A. SOLEMNIZATION PERIOD BEGINS
COUNTY Dutchess
CIT\'folTO'1: Wappinger
~~~~~C~ ~
REGISTER 29
NUMBER .
1. A. FULL NAME
CURRENT SURNAME
FIRST
MIDDLE
lL
N
BIRTH NAME, IF DIFFERENT
C SURNAME AFTER MARRIAGE
(OPTIONAL. SEE REVERSE09O-f~3130
D SOCIAL SE~VOl1c Dulchess
RESIDENCE A. B.
(STATE) ., (COUNTY)
C ~~6CK O\vaPiii~ F. 1:J VILLAGE
SPECIFY 108 Oak Pal'k Terrace 1290
D STREET ADDRESS ZIP
.,
E IS RE~CE WITHiN LIMITS OF CITY OR INCORPORATED .f1LAGE? 0 YES ~ggg
3. A. AGE 38. DATE OF BIRTH ,/29 L!
MONTH DAY YEAR
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B. TYPE OF IND~T~Y_9~Y~I~E~ U~~y~
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7 MOTHER
A. MAIDEN NAME Loretta Mazza
B. COUNTRY OF BIRTH U ~ A
8. NUMBER OF THIS MARRIAGE
9. PREVIOUS MARRIAGES
A. NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY
DIV~CE CIVIL A~ULMENT
D~TH
8. HOW DID LAST MARRIAGE END? (3) 0 DIVORCE
C. DATE LAST MARRIAGE ENDED?
(3) 0 ANNULMENT
/ /
(2) 0 DEATH
MONTH DAY YEAR
D. ARE ANY FORMER SPOUSE(S) ALIVE? 0 YES 0 NO
10. IF PREVIOUSLY DIVORCED OR ANNULED, PROVIDE THE FOLLOWING INFORMATION
DATE OF DECREE PLACE ISSUED AGAINST WHOM
(MONTH, DAY, YEAR) (CITY, STATE/COUNTRY, IF NOT USA) SELF SPOUSE
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FROM THE BRIDE
Nicole Pualeilani Cafferello
11. A. FULL NAME
FIRST MIDDLE
CURRENT SURNAME
B. BIRTH NAME (MAIDEN NAME), ~';ERENT
C. SURNAME AFTER MARRIAGE uso
(OPTIONAL. SEE REVERSE)51~:>1 Ii
D. SOCIAL SE~N~~
12 RESIDENCE A. 8. Dutd1eSS
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13. A. AGE 13.B. DATE OF BIRTH c.. ~
MONTH DAY YEAR
14. EMPLOYMENT .
A. USUAL OCCUPATION Waitress nt
8. TYPE OF INDg OR B~Und5 Restaura
15. PLACE OF BIRTH.' I
(CITY, STATE/COUNTRY IF NOT USA)
16. FATHER chaeI Louis"'- ell
A. NAME Mi vatter 0
B. COUNTRY OF BIRTHU S A
17. MOTHER
A. MAIDEN NAME Penny Price
8. COUNTRY OF BIRTHU 5 ~
18. NUMBER OF THIS MARRIAGE
19. PREVIOUS MARRIAGES
A. NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY
DltfRCE CIVIL A1JULMENT
Dl)TH
B. HOW DID LAST MARRIAGE END? (3) 0 DIVORCE (3) 0 ANNULMENT (2) 0 DEATH
C. DATE LAST MARRIAGE ENDED? / /
MONTH DAY YEAR
D. ARE ANY FORMER SPOUSE(S) ALIVE? 0 YES 0 NO
20. IF PREVIOUSLY DIVORCED OR ANNULED, PROVIDE THE FOLLOWING INFORMATION
DATE OF DECREE PLACE ISSUED AGAINST WHOM
(MONTH, DAY, YEAR) (CITY, STATE/COUNTRY, IF NOT USA) SELF SPOUSE
1ST
2ND
3RD
o
o
o
TIME
MONTH
YEAR MONTH
YEAR
STATE
27. l)'PE OF CEREMONY
o IV RELIGIOUS 1 0 CIVIL
ZIP
AM 04
12:27 PM
19
2006
17 2006
9 0 OTHER, SPECIFY
TITLE Kev'~~d.
DATE ~ ,., 2-D .{)lp
RI 0
....----..
i
06
b
28. PLACE WHERE MARRIAGE OCCURRED
A. STATE NEW YORK B. COUNTY ~
C LOCATION OF CEREMONY
(CHECK ONE AND SPECIFY)
o CITY OF rJ TOWN OF 0 VILLAGE OF
SPECIFY ~l Y1jef
STATE
31.
NAME (PRINT)
SIGNATURE ~,
I ve.[u.-.