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098 "- N + ... I- Z :; W (/l c:( W '" 0 Cl ...J u:: ;:l 0 LL I (/l c:r: Z 0 ;:: 0( 0:: ... (/l 0 a W 0:: W (!) 0( ~ 0:: 0( ::; u. 0 W ... 0( lJ u: ;:: 0:: W lJ W 0:: W I ;: (/l (/l W 0:: Cl Cl 0( ~ {3 W Q. (/l W (/) Z W 0 ::i + ~~~ W ...;:... ~ :i!~~ "'wZ 0 (/l...J::; ;:llJW ::;(!)6 u:: "'Z(/l i= Z- n~~ a: fEe(/) w 0"'>- 0 Uj~~ b~"' z::;;!; STATE OF NEW YORK DEPARTMENT OF HEALTH AFFIDAVIT, LICENSE and CERTIFICATE OF MARRIAGE FROM THE GROOM COUNTY Dutchess CITYfTOWN Wappinger ~~J~~c; 1368 . ~~~I~J~R 98 1 . A. FULL NAME .I~!=:nn Vele7 MIDDLE CURRENT SURNAME FIRST B. BIRTH NAME, IF DIFFERENT C. SURNAME AFTER MARRIAGE (OPTIONAL. SEE REVERSE) D. SOCIAL SECURITY NUMBER 11 B-74-3615 2. RESIDENCE A. NV B. nlltr.he!=:!=: (tf A TEl (COUNTY) C. CHECK ONE 0 CITY ~ TOWN 0 VilLAGE AND W . SPECIFY ~rrlnger 0, STREET ADDRESS 44 All Angels Hill Rd. 3. A. AGE 28 ZIP 12590 DYES r1 NO 09 / ?q / 1 qB 1 DAY YEAR E. IS RESIDENCE WITHIN LIMITS OF CITY OR INCORPORATED VilLAGE? 3B, DATE OF BIRTH 4. EMPLOYMENT A. USUAL OCCUPATION Ter.hnir.~1 ~llrrnrt Rep B. TYPE OF INDUSTRY OR BUSINESS Financial 5. PLACE OF BIRTH M~nhattan, NY (CITY, STATE / COUNTRY IF NOT USA) 6. FATHER A. NAME I IIi!=: Tnm~!=: Vele7 B. COUNTRY OF BIRTH Puerto Rico 7. MOTHER A. MAIDEN NAME Luz Nereida Malave B. COUNTRY OF BIRTH Puerto Rico 8. NUMBER OF THIS MARRIAGE 1 9, PREVIOUS MARRIAGES A, NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY DIVORCE CIVIL ANNULMENT o 0 DEATH o B. HOW DID LAST MARRIAGE END? (3) 0 DIVORCE C. DATE LAST MARRIAGE ENDED? (3) 0 ANNULMENT / / (2) 0 DEATH YEAR MONTH DAY D. ARE ANY FORMER SPOUSE(S) ALIVE? DYES D NO 10. IF PREVIOUSLY DIVORCED OR ANNULLED, PROVIDE THE FOLLOWING INFORMATION DATE OF DECREE PLACE ISSUED AGAINST WHOM (MONTH, DAY, YEAR) (CITY/COUNTY, STATE/COUNTRY, IF NOT USA) SELF SPOUSE STREET I CERTIFY THAT I SOLEMNIZED THE MARRIAGE OF THE PER- SONS NAMED ABOVE ON THE DATE AND AT THE TIME AND PLACE INDICATED. 29. OFFICIANT NAME (PRINT) NAME (PRINT) SIGNATURE~ DOH-9B (09/2009) I STATE FILE NUMBER (THIS SPACE FOR STA TE USE ONL Yi I L D SUPPLEMENTAL FILE ~ FROM THE BRIDE Jennifer Marie Azzaro-Velez FIRST MIDDLE CURRENT SURNAME B, BIRTH NAME (MAIDEN NAME), IF DIFFERENT A77~rn C, SURNAME AFTER MARRIAGE Vele7 (OPTIONAL - SEE REVERSE) D. SOCIAL SECURITY NUMBER 056-56-9118 12, RESIDENCE A. NY e, Dutchess (STATE) (COUNTY) C, CHECK ONE 0 CITY cY TOWN 0 VILLAGE AND W . SPECIFY applnger 0, STREET ADDRESS 44 All Anaels Hill Rd. ZIP 12590 E. IS RESIDENCE WITHIN LIMITS OF CITY OR INCORPORATED VilLAGE? 0 YES r':1 NO 05 /29 /1973 MONTH DAY YEAR 11. A. FULL NAME 13, A. AGE ~7 13B.DATE OF BIRTH 14. EMPLOYMENT A. USUAL OCCUPATION Account Manager B. TYPE OF INDUSTRY OR BUSINESS Health Care 15. PLACE OF BIRTH North Tarrytown. NY (CITY, STATE / COUNTRY IF NOT USA) 16. FATHER A. NAME Russell George Azzaro 'B. COUNTRY OF BIRTH USA 17. MOTHER A. MAIDEN NAME Marie Anne Minardi B. COUNTRY OF BIRTH Italy 18. NUMBER OF THIS MARRIAGE 2 19. PREVIOUS MARRIAGES A. NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY DIVORCE CIVIL ANNULMENT 1 0 B. HOW DID LAST MARRIAGE END? (3) d"t>IVORCE (3) 0 ANNULMENT (2) 0 DEATH C. DATE LAST MARRIAGEENDED? 03/ 21 / 2001 MONTH DAY - YEAR D. ARE ANY FORMER SPOUSE(S) ALIVE? ~ES 0 NO # 20. IF PREVIOUSLY DIVORCED OR ANNULLED, PROVIDE THE FOLLOWING INFORMATION DATE OF DECREE PLACE ISSUED AGAINST WHOM (MONTH, DAY, YEAR) (CITY/COUNTY, STATE/COUNTRY, IF NOT USA) SELF SPOUSE 03/21/2001 Danburv. Connecticut if DEATH o 22. SIGNATURE OF BRIDE o o 0 o 0 o 0 and that I declare that no legal impediment exists . .'1 YEAR 02 2010 09 30 2010 28. PLACE WHERE MARRIAGE OCCURRED A. STATE NEW YORK B.COUNTY l\vj(J.(t"S5 C. LOCATION OF CEREMONY (CHECK ONE AND SPECIFY) o CITY OF ~WN OF 0 VILLAGE OF SPECIFY iAJ,,{f II ^' 6.h:-