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023 :] 0 m ill ('~ ..- ::If. L- ~ w " >- ~ ;:: Q) (fJ z VI m .... ~ ~VI :; wL. <( <DiD 00) C 5C w u: m.~ LL (/)0.. ~ <( zm ~ ~~ <U-' 0 a:: t:' ~G 5 ~> <LL: in tti ~u 'cJn ::to ~ u: ;::: a: u.J () u.J a: u.J ffi I ~ <Il U) " U) :J u.J Z a: 0 0 z 0 '" '" >- ~ w w U ~ u.J (fJ "- (fJ W Cf) Z W () :J z z ~ 3 w u.J '" ..... ~ ~ <t gj ~ () ~ ~ u: ~ ~ ~ u: a: o ~ w UJ 0 () .... "' o z ~ 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 ' -,/