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WJI'.~.,Qutchess
GITY,TOINN Wappinger
D1STR:Cl""68
NUM8[R I,",
~5~'~J~R3
STATE OF NEW YORK
DEPARTMENT OF HEALTH
AFFIDAVIT, LICENSE and
CERTIFICATE OF
MARRIAGE
FROM THE GROOM
Usama S. Abdel - Whab
CURRENT SURNAME
I
STATE FILE NUMBER
(THIS SPACE FOR STATE USE ONL Y)
I
! ,.,i j .cJ~
L 0 SUPPLEMENTAL FILE
FROM THE BRIDE
Maria T. Petrillo
~
A FULL NAME
1 1 A FULL NAME
MIDDLE
CURRENT SURNAME
FIRST
MIDDLE
FIRST
CL
N
B BIRTH NAME (MAIDEN NAME), IF DIFFERENT
C SURNAME AFTER MARRIAGE Petrillo
(OPTIONAL - SEE REVERSE075-76-8546
o SOCIAL SECURITY NUMBER
12 RESIDENCE ANew York BDutchess
(STATE) (COUNTY)
C CHECK ONE 0 CITY ~ TOWN 0 VillAGE
~~~clFyFishkill
D. STREET ADDRESP Plymouth Road
ZIP12524
DYES"D NO
1-983
YEAR
BIRTH NAME IF DIFFERENT
C SURNAME AFTER MAP.RIAGE
(OPTIONAL. SEE REVERSE)
o SOCIAL SECURITY NUMBER
RESIDENCE ANew York
C CHECK ONE (Si13') CITY
~~~CIFY Beacon
o STREET ADDRESS 1228 North Avenue ZIP 12508
E IS RESIDENCE WITHiN LIMITS OF CITY OR INCORPORATED VILLAGE? 'tJ YES 0 NO
/27 /1975
DAY YEAR
B. Dutchess
(COUNTY)
o TOWN 0 VillAGE
E IS RESIDENCE WITHIN LIMITS OF CITY OR INCORPORATED VILLAGE?
13 A. AGE18 13.8 DATE OF BIRTH 09 AD
MONTH DAY
3 A. AGF~fl
05
MONTH
3B. DATE OF BIRTH
4. EMPLOYMENT
A USUAL OCCUPATION Driver
B TYPE OF INDUSTRY OR BUSINESSWest Side Taxi Company
5. PLACE OF BIRnEavot
\1:fTV, $T ATE/COUNTRY IF NOT USA)
6. FATHER
A. NAME Sadik Abdel - Whab
B. COUNTRY OF BIRTH Egypt
7 MOTHER
A. MAIDEN NAME Alii'll ShRhRn
B. COUNTRY OF BIRTH Egypt
B NUMBER OF THIS MARRIAGE 1
9 PREVIOUS MARRIAGES
A. NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY
DIVORCE CIVil ANNULMENT
o 0
14. EMPLOYMENT
A. USUAL OCCUPATIONlnterviewer
B TYPE OF INDUSTRY OR BUSINESSQ- Search
15. PLACE OF BIRTJ3ronx. New York
(CITY. STATE/COUNTRY IF NOT USAI
16. FATHER
A. NAMESalvatore Petrillo
B. COUNTRY OF BIRTUaly
17. MOTHER
A. MAIDEN NAMEAngelR Fi!';chetti
B. COUNTRY OF BIRTU S A
1 B. NUMBER OF THIS MARRIAGE 1
19. PREVIOUS MARRIAGES
A. NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY
DIVORCE CIVil ANNULMENT
o 0
DEATH
o
DEATH
o
B HOW DID LAST MARRIAGE END? (3) 0 DIVORCE
C DATE lAST MARRIAGE ENDED?
(3) 0 ANNULMENT
/ /
(2) 0 DEATH
B 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) ICITY. 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 ISSUED AGAINST WHOM
(MONTH. DAY, YEAR) (CITY. STATE/COUNTRY. IF NOT USA) SELF SPOUSE
15T 0 0 15T
2ND 0 0 2ND
3RD 0 0 3RD
4TH 0 0 4TH
I. being duly sworn, depose and say, that to the best of my knowledge and belief that the information 1 provided is true and that I declare that no
as to my right to enter into the marriage state. t
21 SIGNATURE OF GROOM ~ 22. SIGNATURE OF BRIDE tJ>-;:'
o
o
[J
[]
c::
[J
T
DATE 01/07/2002
23 SUBSCRIBED AND SWORN TO BEFORE ME
SIGNATURE OF TOWN OR CITY CLERK ~
This license authorizes the marriage in New York the bride and groom named above by any person authorized by New York Domestic
Relations Law S11 to perform marriage ceremonies wi in New York State. THIS LICENSE VALID IN NEW YORK STATE ONLY.
D 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
} NAME (PRINT) GI~se. 7 4 TIME MONTH YEAR MONTH
{SEAL SIGNATURE~' . -~. . ~..u-~ATE01/07/2002
'-v-' M2bN~ddr~bush Rd a in er Falls NY 12590 2:33 ~~ 01 08 2002 03 08 2002
STREET CI TOWN STATE ZIP
I CERTIFY THAT I SOLEMNIZED 27. TYPE OF CEREMONY ~
THE MARRIAGE OF THE PER.
SONS NAMED ABOVE ON THE 0 0 RELIGIOUS l' CIVil
DATE AND AT THE TIME AND
PLACE INDICATED 9 0 OTHER, SPECIFY
29 OFFICIANT ----::>
NAME (PRINT) ~ If
YEAR
28 PLACE WHERE MARRIAGE OCCURRED
A. STATE NEW YORK B COUNT::i2uTC~
TITLE -::fLLS7I c.c.
/f7/UJOZ-
. I z..:::.--JO
C LOCATION OF CEREMONY
(CHECK ONE AND SPECIFY) /"
o CITY OF 0 TOWN OF ~ VillAGE OF
SPECIFY L{) fhOPI Nbtrz..,~ F~.
NAME (PRINT)
SIGNATURE ~
MAY-30-2002 21:55
P.02/02
United States Department of State
Diplomatic Security Service
1 Executive Drive
5th Floor
Fort Lee, NJ 07024-3303
(201) 461-8703 Office
(201) 944-3787 24 hr
(646) 256-9341 Cell
05/30/02
To Whom it May Concern:
This letter is to request a certified copy of a mmiage certificate executed in Wappinger Falls, NY. The particulars
of the certificate are as follows:
County:
Town:
District No:
Register No:
Groom:
Bride:
License Date:
Dutchess
Wappinger Falls
1368
3
Abdel- Whab, Usama Sadik
Petrillo, Maria T.
0110712002
An individual named in that certificate was subsequently investigated, arrested, and indicted for passport fraud and
is scheduled to stand trial on those charges soon. The marriage certificate is an important document related to this
case.
Please mail the certificate to me at the above address as soon as possible.
We thank you in advance for your cooperation. If you have any questions, please feel free to call me at the above
listed numbers.
/U-t/~
ROBERTJ.ROULSTON
Special Agent, U.S. Department of State
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TOTAL P.02
u.s. Dep.rtment of StItt
One: Executive Drive, 5th Floor
Fort Lee, NJ 07024
tz
MAY-30-2002, 21:55
Main Tel. (201) 944-3787
FIIX (201) 944-5106
Fax Transmittal
C. O~n ~y CI e..rk.
To: ~ ~ [)o+ (; (0"" k
Faxl ~'f S' .. ,1,,... 1"I7~
Phone: ~~5' ~Cf7. 517 I
,..Subject: ,MQrr;~e. Ce.r+; f: c..,.fe..
From: "5~ a,".rt (2 o\( lsfD'"
Date: 05 .. 3.1 . ).()O;!
Commentsl
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arty ;fA.('S+ioftS". Th."'((~!
..
This document consists of .1
page(s) following this cover sbeet. Call the above voice number if all pages are not
received.
This facsimile my contain
LAW ENFORCEMENT SENSITIIVE or OFFICIAL USE ONLY information that may also be
LEGALLY PRMlEGED.
It is only intended for the use of the addressee(s) named above. If you are not the intended recipient, employee or ~ responsible for
d$livering It 10 the intended recipient, you are herein notified that unauthorized disseminati9n, reproduction or copying of this facsimile and/or
the attached document5 is prohibited and oould result in an oflicial criminal inve:stigalion or federal prosecution. If yOU have received thi8
. ." .. . _... I a.... _ ,.-
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CT^Ti= ns:: NI=W YORK
THIS SPACE F-JR S 1"".1. TE USE c'r\~ 'i
,/h
NEW YORI< STATE
~~~
'c,;;".'\10,',0',", DRIVER, LICENSE
10:507 550 578", >~;~,"/
~'-1 DOS 09-1 ~8i3 'j~ "
PETRILLO"MARIA,T ,:,-L ,.-'; ':
,- ---~,--~.J L
6 PL YM. OLTTf R. O. AD. ~-. ':"'.' : ':r~~ '
FISHKILL i~Y , t[. '=" r. ~ ,
12524 I ':7< ";. . i . .
SEX F' EYES~G.R1HT. -.~. 5-07. "'-.'~ '. Asl.D~'
END' RE:SI;13:-:-::,~,:,r '- .1 ,
ISSUED. OS-1.CHll ;:'-~,(R!P~S; OO.IO-:.oS . .
0i~,--~"[!L,j,'''-' ~1~'j
I . ,
. ~<i\\ Department of the Treasury ~
I fdilJ' Internal Revenue Service
. ...
IRS Individual Taxpayer Identification Number
997-78-9979
This number has been established for
USAMA SADIK ARDEL WAHAB
To be used for tax purposes Dnly.. I
\1~~\1.l11-b _ ..
- Signature - J
__ _ u_ ____ - _._.~
........:--...
*
SATURDAY, JULY 27, 200~
. 'P0\\~'hRtql5\t 3ournal..
-- CUURf11iIM -
Man face. up to 10 year.
for passport fraud
WHITE PLAINS - A,n Egypt-
ian immigrant who fUed a fraud-
ulent passport application in
Dutchess County last year faces
up to 10 years in prison, federal
authorities said Friday.
Usama Sadik Ahmed-Abdel
What. 27, was convicted of one
count of passport fraud and two
counts of making false state-
ments following a three-day trial
last week in federal district court
in White Plains.
WhaS is slate~ to be sen-
tenced next month by federal Judge
Colleen McMahon.
Assistant U.S. Attorney
Jonathan Leiken said WhaJ)came
to the United States in 1999 from
Cairo on a student visa. The visa
indicated Whag was a student at
Saginaw Valley College in Michi-
gan, but he never attended the
school and settled instead in
Dutchess County, Leiken said.
On June 21, 20m, WhaR>applied
for a passport at the Dutchess
County Clerk's office in Pough-
keepsie, claiming he had been born
in Brooklyn. A member of the coun-
ty clerk's staff became suspicious
when she reviewed the application
_ in part because WhaB spelled
Brooklyn as "Brocklyn."
When authorities sought further
proof of identification, What
gave them a baptism certificate
from a Brooklyn Church. Author-
ities subsequently discovered the
certificate belonged to Whags girl-
friend, Maria Petrillo, Leiken said.
County Clerk Richard Ander-
son praised his staff for helping fed-
eral authorities unravel the case.
"It was due to the diligence of
the staff of our passport unit that
we were able to uncover this (
fraud," Anderson said. "This case '
-
proves we have outstanding
employees in Dutchess County
who are on the lookout for illegal
activity."
,.
r