148
1ST 0 1ST
2ND 0 2ND
3RD 0 3RD
4TH 0 4TH ,
I, being duly sworn, depose and say, that to he best of my knowledge and belie 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 st 0 '8 n . ,
21 SIGNATURE OF GROOM ~ 22. SIGNATURE OF BRIDE ~.~.i:"")1 ck mrt,., LJ) [:'11: L< \..
. USECUR~NA~~
23. ~ ~ DATE Aug. 29,2000
This license authorizes the marriage in New Yor State of the brid and groom named above b any person authorized by New York Domestic
Relations Law ~11 to perform marriage ceremonies within New York State. THIS LICENSE VALID IN NEW YORK STATE ONLY.
o If checked. this license is to be used onl for the urpose of a second or subsequent ceremony.
24. TOWN OR CITY CLERK 25. A. SOLEMNIZATION PERIOD BEGINS
aine H. Town Clerk
DATE 8/29/00
12590
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51 A 1E OF NEW YORK
DEPARTMENT OF HEALTH
AFFIDA VIT, LICENSE and
CERTIFICATE OF
MARRIAGE
FROM THE GROOM
Gregory H.
FIRST MIODLE
COUNTY nllt~hl'!RS
~*~OWN Wappinger
~~~:~T _ 13 6 8
~~~~J~R' 148
1. A. FULL NAME
Yozzo III
CURRENT SURNAME
0.
N
B. BIRTH NAME. IF DIFFERENT
C. SURNAME AFTER MARRIAGE
(OPTIONAL. SEE REVERSE) 110-72-9674
D. SOCIAL SECURITY NUMBER
2. RESIDENCE A. New York B Dutchess
(STATE) (COUNTY)
C. CHECK ONE = CITY C TOWN ~ VilLAGE
~~~CIFY Wappingers Falls
D. STREET ADDRESS 29 South Mesier Ave ZIP 12590
E. IS RESIDENCE WITHIN LIMITS OF CITY OR INCORPORATED VILLAGE? ~ YES 0 NO
/ 12 /1976
DAY YEAR
3. A. AGE
23
3B. DATE OF BIRTH Nov.
MONTH
4. EMPLOYMENT
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en
A. USUAL OCCUPATION Letter Carrier
B. TYPE OF INDUSTRY OR BUSINESS U. S. Postal Service
5. PLACE OF BIRTH North Tarrytown, New York
(CITY. STATE/COUNTRY IF NOT USA)
6. FATHER
A. NAME
Gregory H. Yozzo Jr.
USA
B. COUNTRY OF BIRTH
7. MOTHER
A. MAIDEN NAME Suzanne M. Holdner
B. COUNTRY OF BIRTH USA
First
8. NUMBER OF THIS MARRIAGE
9. PREVIOUS MARRIAGES
A. NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY
DIVORCE CIVil ANNULMENT
DEATH
B. HOW DID LAST MARRIAGE END? 31 0 DIVORCE
C. DATE LAST MARRIAGE ENDED?
(31 0 ANNULMENT
/ /
(2) 0 DEATH
MONTH DAY YEAR
D. ARE ANY FORMER SPOUSE(SI ALIVE? = YES = 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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CJ
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{ SEAL }
'-v-I
NAME (PRINT)
I CERTIFY THAT I SOLEMNIZED
THE MARRIAGE OF THE PER.
SONS NAMED ABOVE ON THE
OATE AND AT THE TIME AND
PLACE INOICATED.
,.
STATE FILE NUMBER
(THIS SPACE FOR STATE USE ONLY)
I
/ ~IJ1Ic()
L 0 SUPPLEMENTAL FILE
FROM THE BRIDE
Sandra Marie
~
Price
CURRENT SURNAME
11. A. FUU NAME
FIRST
MIDDLE
B. BIRTH NAME (MAIDEN NAME), IF DIFFERENT
C. SURNAME AFTER MARRIAGE Yo z z 0
D. Sb~,~~~~~~;~E;U~~~~RSE) 070-64-4661
12. RESIDENCEA. New York B Dutchess
(STATE) (COUNTY)
C. CHECK ONE 0 CITY 0 TOWN ~ VilLAGE
~~CIFY Wappingers Falls
D. STREET ADDRESS 29 South Mesier Ave ZIP 12590
E. IS RESIDENCE WITHIN LIMITS OF CITY OR INCDAPORA TED VILLAGE? eYES 0 NO
/06 /1978
DAY YEAR
13. A. AGE 22
13.B. DATE OF BIRTH J an.
MONTH
14. EMPLOYMENT
A. USUAL OCCUPATION Supervisor
B. TYPE OF INDUSTRY OR BUSINESS Dutchess Co. Loop
15. PLACE OF BIRTH Beacon, New York
(CITY, STATE/COUNTRY IF NOT USA)
16. FATHER
A. NAME James W. Price
B. COUNTRY OF BIRTH USA
17. MOTHER
A. MAIDEN NAME Judi th Massarelli
B. COUNTRY OF BIRTH USA
1B. NUMBER OF THIS MARRIAGE First
19. PREVIOUS MARRIAGES
A. NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY
DIVORCE CIVIL ANNULMENT
DEATH
B. HOW DID LAST MARRIAGE END? (31 = DIVORCE
C. DATE LAST MARRIAGE ENDED?
131 0 ANNULMENT
/ /
21 = DEAc.;
MONTH DAY YEAR
D. ARE ANY FORMER SPOUSE(S) ALIVE? 0 YES [J 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 USAI SELF SPOUSE
c...
25. B. SOLEMNIZA T10N PERIOD
ENDS AT MIDNIGHT ON:
TIME
MONTH
DAY
YEAR
MONTH
DAY
YEAR
AM
1: lOPM 08
30
00
10
00
27. TYP,y>F CEREMONY
o g.1!lelIGIOUS 1:: CIVil
9 0 OTHER. SPECIFY
TITLE
'Ib'L"ln
28. PLACE WHERE MARRIAGE OCCUR~
A. STATE NEW YORK B. COUNnJ2~
C. lOCATION OF CEREMONY
(CHECK ONE AND SPECIFY)
o CITY ~F 9 TOWN OF ~GE OF
SPECIFY~/N61;1e.S t'ftu..5
ATE