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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:-