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COUr-iTyDutchess
CITY,TOWN WappinQer
~~~~~CRT1368
~0~'~J~R 1
STATE OF NEW YORK
DEPARTMENT OF HEALTH
AFFIDAVIT, LICENSE and
CERTIFICATE OF
MARRIAGE
FROM THE GROOM
Kenneth L. Reddina. JR.
MIDDLE CURRENT SURNAME
I
STATE FILE NUMBER
(THIS SPACE FOR STATE USE ONL Y)
I
.J n
;)Jfi.{j I- ~ - t) J{
L D SUPPLEMENTAL FILE
FROM THE BRIDE
Joan T. Sisto
~
1 A FULL NAME
11 A. FULL NAME
CURRENT SURNAME
FIRST
FIRST MIDDLE
8. BIRTH NAME (MAIDEN NAME). IF DIFFERENT Kelly
C SURNAME AFTER MARRIAGE ReddinQ
(OPTIONAL. SEE REVERSE)1 04-58-4019
o SOCIAL SECURITY NUMBER
12 RESIDENCE ANew York B Dutchess
C CHECK ONE ISTA~) CITY ~ TOWN 0 VILLAGE (COUNTY)
~~~CIFY WappinQer
o STREET ADDREss5 '/Jildwood Drive Apt. 19a
ZIP 12590
o YES ~ NO
1961
YEAR
"-
N
B BIRTH NAME. IF DIFFERENT
C SURNAME AFTER MARRIAGE
(OPTIONAL' SEE REVERSEIt33-51 5445
o SOCIAL SECURITY NUMBER 't -
2 RESIDENCE A. New York B. Dutchess
(STATE) .L (COUNTY)
C CHECK ONE 0 CITY ~ TOWN 0 VILLAGE
AND W .
SPECIFY applnQer
o STREET ADDRESS 5 Wildwood Drive Apt. 19a ZIP 12590
E IS RESIDENCE WITHiN LIMITS OF CITY OR INCORPORATED VILLAGE? 0 YES"tJ NO
OS /07 /1974
MONTH DAY YEAR
3 A. AGE'}7
3B. DATE OF BIRTH
E IS RESIDENCE WITHIN LIMITS OF CITY OR INCORPORATED VILLAGE?
13 A. AGE40 13.B. DATE OF BIRTH 03 /01
MONTH DAY
14. EMPLOYMENT
A. USUAL OCCUPATION flaQQer
B. TYPE OF INDUSTRY OR BUSINESS O. S. P. Consultants
15. PLACE OF BIRTHBrooklvn, New York
(CITY. ST;""'E/COUNTRY IF NOT USA)
16. FATHER
A. NAME Charles Kelly
B. COUNTRY OF BIRTJJ S A
17. MOTHER
A MAIDEN NAME FIi7Abeth I oughlin
B. COUNTRY OF BIRTf-Ireland
lB. NUMBER OF THIS MARRIAGE 2
4. EMPLOYMENT
A USUAL OCCUPATION Concrete Worker
B TYPE OF INDUSTRY OR BUSINESS Pinnacle Industries Inc.
5 PLACE OF BIRTHCalico Rock. Arkansas
ICITY. STATE/COUNTRY IF NOT USA)
6. FATHER
A. NAME Kenneth Redding L. Sr.
B. COUNTRY OF BIRTH USA
7. MOTHER
A MAIDEN NAME RhnnnA Fbmery
B. COUNTRY OF BIRTH USA
8 NUMBER OF THIS MARRIAGE 1
w
en
z
w
U
:J
19. PREVIOUS MARRIAGES
A. NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY
DIVORCE CIVIL ANNULMENT
1 0
B HOW DID LAST MARRIAGE END? (3) 0 DIVORCE (3) 0 ANNULMENT (2) 0 DEATH B. HOW DID LAST MARRIAGE END? (3) tf DIVORCE (3) 0 ANNULMENT (2) [J DEATH
/ / C. DATE LAST MARRIAGE ENDED? 10 /31 /1991
MONTH DA Y YEAR MONTH DAY YEAR
D ARE ANY FORMER SPOUSE(S) ALIVE? 0 YES 0 NO D. ARE ANY FORMER SPOUSE(S) ALIVE? ~ YES :::! NO
10 IF PREVIOUSLY DIVORCED OR ANNULED, PROVIDE THE FOLLOWING INFORMATION 20. IF PREVIOUSLY DIVORCED OR ANNULED, PROVIDE THE FOLLOWING INFORMATION
DATE OF DECREE PLACE ISSUED AGAINST WHOM DATE OF DECREE PLACE ISSUED AGAINST WHOM
(MONTH. DAY. YEAR) (CITY. STATE/COUNTRY, IF NOT USA) SELF SPOUSE (MONTH. DAY. YEAR) (CITY. STATE/COUNTRY. IF NOT USA) SELF SPOUSE
1ST 0 0 1ST 10/::\1/1991 Brooklyn, New York 0 ~
2ND 0 0 2ND iJ C
3RD 0 0 3RD ':J
4TH 0 0 4TH r::J
I. being duly sworn, depose and say, that to the best of my knowledge and belief that the Information I prOVided IS tr~and that I declare th
as to my right to enter mto the ma~'~e state.
21 SIGNATURE OF GROOM ~ ~"1 >L. 0 22 SIGNATURE OF BRIDE ~
USE CURRENT NAME
23 ~~JJT~~~Do~NT~~~O~RN 61~:g~~~~E DATE 01/03/2002
This license authorizes the marriage in New York St te of the' bride and groom named above by any person authorized by New York Domestic
Relations Law S11 to perform marriage ceremonies withi New 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
{ } NAME (PRINT) Gloria J. Morse
TIME MONTH YEAR
SEAL SIGNATURE ~ ,.. ___ t9~~ 01/03/2002
MAILING ADDRESS / AM
'-v-" 20 Middlebush Rd r falls NY 12590 01'.55 PM 01
STREET !TOWN STATE ZIP
~~~R~~~R~~~~ 'O~O~~~N~zEE~ 26 SOLEMNIZATION OCCURRED 27. TYPE OF CEREMONY ../'
SONS NAMED ABOVE ON TIME MO. DA YEAR RELIGIOUS 1 ~VIL
DATE AND AT THE TIME
PLACE INDICATED
9 PREVIOUS MARRIAGES
A NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY
DIVORCE CIVIL ANNULMENT
o 0
DEATH
o
DEATH
o
C. DATE LAST MARRIAGE ENDED?
YEAR
04
28. PLACE WHERE MARRIAGE OCCURRED
A. STATE NEW YORK B COUNTY~~
C LOCATION OF CEREMONY
(CHECK ONE AND SPECIFY) /'
o CITY OF :J TOWN OF cKLLAGE OF
SPECIFYW~~~
NAME (PRINT)
SIGNATURE ~