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Dutchess
COUNTY Wappinger
CITY;TO~~
DISTRICTI.J68
~~~1~~~P23
NUMBER
~ I A rt:. Ot- NI:.W YUHK
DEPARTMENT OF HEALTH
AFFIDAVIT, LICENSE and
CERTIFICATE OF
MARRIAGE
FROM THE GROOM
Orestes O. Conde
FROM THE BRIDE
Heather M. Mettam
(THIS SPACE FOR STA TE USE ONL Y)
11.1 J fI f';... .II
'Jf')j ). ~b . c:' v(
L 0 SUPPLEMENTAL FILE
-.J
1 A FULL NAME
11 A. FULL NAME
FIRST
CURRENT SURNAME
CURRENT SURNAME
FIRST
MIDDLE
MIDDLE
"-
N
B BIRTH NAME. IF DIFFERENT
B BIRTH NAME (MAIDEN NAME), JF.PIFFEBI'NT
l..,onae
C S~~~~~JN~~E~~t~~C~~SE600-a0-396 1
D SOCIAL Sf,C~RITY ~}1B~jL 0
New 10rK utcness
12 RESIDENCE A. B.
(STATE)'" (COUNTY)
C CHECK QNf. 0 ~LT.Y 0 TOWN 0 VILLAGE
AND vvapplnger
SPECIFY 58 S(;uU Drive
D STREET ADDRESS
....
C s~~~~~JN~~E~~t~~C~~SE\1 15-88-4356
D SOCIAL SE~~\~l~8t1< Uutcness
2 RESIDENCE A. (STATE) '" B (COUNTY)
C CHECK O~~, ..riL~II.Y 0 TOWN 0 VILLAGE
AND vvapplr1ger
SPECIFY 58 S(;oU Drive
D STREET ADDRESS
12590
ZIP
.,
E IS R~~NCE WiTHiN LIMITS OF CITY OR INCORPORATEUV~LAGE? A 9 0 YES .H-.~~
3 A. AGE 3B. DATE OF BIRTH L ~
MONTH DAY YEAR
E is RE11~NCE WITHIN LIMITS OF CITY OR INCORPORATE~ ~LLAGE? n2 0 Y~drl3NO
13. A AGE 13.8. DATE OF BIRTH ~ E
MONTH DAY YEAR
4 EMPLOYMENT C t
arpen er
A. USUAL OCCUPATION C
B. TYPE OF INDI,I~TRY QR BUSINf,S"S Lorono rt onstructlon Co
nonauras, ....ueno (;0 es
5. PLACE OF BIRTH
(CITY. STATE/COUNTRY IF NOT USA)
6 FATHER
A NAME Manuel Conde
B COUNTRY OF BIRTH Honduras, Puerto Cortes
14. EMPLOYMENT
Electrician
A. USUAL OCCUPATION M It I EI to'l
e am s ec lie
B. TYPE OF INDLfTRY OR BU}\NESS
15. PLACE OF BIRTH ucson, nzona
(CITY, STATE/COUNTRY IF NOT USA)
16. FATHER R dy M it
A. NAME an e am
B. COUNTRY OF BIRTHU S A
7 MOTHER
A. MAIDEN NAME Veronica Albarado
B COUNTRY OF BIRTH Honduras, Puerto Cortes
. 1
8. NUMBER OF THIS MARRIAGE
9 PREVIOUS MARRIAGES
A. NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY
DIVBRCE CIVIL A~ULMENT
17 MOTHER .
A. MAIDEN NAME Lon Reardon
---nSA
B. COUNTRY OF BIRTJ-7"' 1
1 B. NUMBER OF THIS MARRIAGE
19. PREVIOUS MARRIAGES
A. NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY
D~ORCE CIVIL A~UlMENT
Dl1TH
DltTH
B HOW DID LAST MARRIAGE END? (3) 0 DiVORCE
C. OATE LAST MARRIAGE ENDED?
(3) 0 ANNULMENT
/ /
8. HOW DID LAST MARRIAGE END? (3) 0 DIVORCE
C. DATE LAST MARRIAGE ENDED?
(2) 0 DEATH
(3) 0 ANNULMENT
/ /
(2) 0 DEATH
MONTH DAY YEAR
D. ARE ANY FORMER SPOUSE(S) ALIVE? 0 YES 0 NO
1 D IF PREVIOUSLY DIVORCED OR ANNUlED, PROVIOE THE FOLLOWING INFORMATION
DATE OF DECREE PLACE ISSUED AGAINST WHOM
(MONTH, DAY, YEAR) (CITY. STATE,COUNTRY, IF NOT USA) SELF SPOUSE
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 ISSU ED AGAINST WHOM
(MONTH, DAY, YEAR) (CITY, STATE/COUNTRY, IF NOT USA) SELF SPOUSE
18T 0 0 18T 0 0
2ND 0 0 2ND 0 0
3RD 0 0 3RD 0 [J
4TH 0 0 4TH 0 [J
I, being duly sworn, depose and say, that to th ledge and belief that the information I provided is true and that I declare that no legal impediment exists
as to my right to enter into the marriage state
21 SIGNATURE OF GROOM ~ . SIGNATU E OF BRIDE ~ /I..;;.P~ ?J/~~
23 SUBSCRIBED ANO SWORN TO BEFORE ME USE CURRENT NAME 03/13/2002
SIGNATURE OF TOWN OR CITY CLERK ~ DATE
This license authorizes the marriage in New York State of the authorized by New York Domestic
Relations Law ~11 to perform marriage ceremonies within New York tate. 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&18if~K . Uftrs 25. A. SOLEMNIZATION PERIOD BEGINS
{ } NAME (PRINT) ''\7
YEAR MONTH DA Y
SEAL SIGNATURE
M2Ef1 R
'-v-I
25 B SOLEMNIZATION PERIOD
ENDS AT MIDNIGHT ON
YEAR
2002 05
12 2002
STREET
I CERTIFY THAT I SOLEMNIZED
THE MARRIAGE OF THE PER.
SONS NAMED ABOVE ON THE
DA TE AND AT THE TIME AND
PLACE INDICATED
STATE
27 TYPE OF CEREMONY
o ~IGIOUS
9 0 OTHER, SPECIFY
10 CIVIL
28 PLACE WHERE MARRIAGE OCCURRED
A. STATE NEW YORK B COUNT~~
C LOCATION OF CEREMONY
(CHECK ONE LCIFY)
::J CITY OF ~ TOWN OF C VILLAGE OF
SPECIFY .-;::;' 5 ~ I{/ / I
ZIP
29 OFFICIANT --J:? __ Ir
NAME (PRINT). 1"\ -L- v '
-,/