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ST ATE OF NEW YORK r STATE ALE NUMBER I
(THIS SPACE FOR STATE USE ONLY)
COl1NTY Dutchess DEPARTMENT OF HEALTH
~fTOWN Wappinger ~1i)111I00
DISTRICT 1368 AFFIDAVIT, LICENSE and
NUMBER
REGISTER 145 CERTIFICATE OF
NUMBER
MARRIAGE Lo SUPPLEMENTAL FILE ~
FROM THE GROOM FROM THE BRIDE
1. A. FULL NAME Felix D. Delgado 11. A. FULL NAME Sonia Capparelli
FIRST MIDDLE CURRENT SURNAME FIRST MIDDLE CURRENT SURNAME
B BIRTH NAME, IF DIFFERENT
B. BIRTH NAME (MAIDEN NAME), IF DIFFERENT
C SURNAME AFTER MARRIAGE Delgado
(OPTIONAL. SEE REVERSE)
o SOCIAL SECURITY NUMBER 077-62-6698
12 RESIDENCEA. New York B. Dutchess
(STATE) (COUNTY)
C. CHECK ONE 0 CITY ~ TOWN 0 VILLAGE
~~~CIFY Wappinger
o STREETADDRESS 53 Edgehill Dr. ZIP 12590
E. IS RESIDENCE WITHIN LIMITS OF CITY OR INCORPORATED VILLAGE? 0 YES ~ NO
/24 /1975
YEAR
C. SURNAME AFTER MARRIAGE
(OPTIONAL. SEE REVERSE)
O. SOCIAL SECURITY NUMBER
New York
(STATE)
C. CHECK ONE [1S: CITY 0 TOWN ~ VILLAGE
~~~CIFY Manhattan, New York
D. STREET ADDRESS 747 10th Ave. Apt4EzIP
E. IS RESIDENCE WITHiN LIMITS OF CITY OR INCORPORATED VILLAGE? ~
/03
DAY
2. RESIDENCE A.
130-66-1243
B. New York,NY
(COUNTY)
10019
YES 0 NO
/1974
YEAR
25
13.8. DATE OF BIRTH June
MONTH
DAY
3. A. AGE
25
Dec.
MONTH
13. A. AGE
3B. DATE OF BIRTH
14. EMPLOYMENT
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4. EMPLOYMENT
A. USUAL OCCUPATION Telecomunication Technician
B. TYPE OF INDUSTRY OR BUSINESS Qwes t Comunica t ions
5. PLACEOFBIRTH New York,New York
(CITY, STATE/COUNTRY IF NOT USA)
16. FATHER
A. USUAL OCCUPATION Visual Merchandiser
8. TYPE OF INDUSTRY OR BUSINESS Filenes
15. PLACE OF BIRTH New ?.B.ochelle, New York
(CITY, STATE/COUNTRY IF NOT USA)
6. FATHER
A. NAME Luigi Capparelli
B. COUNTRY OF BIRTH Al t omont e , I t a I y
A. NAME Felix Delgado
B. COUNTRY OF BIRTH Havana, Cuba
7. MOTHER
17. MOTHER
A. MAIDEN NAME Giuseppina Trotta
B. COUNTRY OF BIRTH I tal y
18. NUMBER OF THIS MARRIAGE Firs t
19. PREVIOUS MARRIAGES
A. NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY
DIVORCE CIVIL ANNULMENT
DEATH
A. MAIDEN NAME
B. COUNTRY OF BIRTH
Ana~ Maria Vasquez
Santana EI Salvador
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? (3) = DIVORCE
C. DATE LAST MARRIAGE ENDED?
(3) 0 ANNULMENT
/ /
(2) 0 DEATH
B. HOW 010 LAST MARRIAGE END? (3) 0 DIVORCE
C. DATE LAST MARRIAGE ENDED?
13) LJ ANNULMENT
/ /
(2) 0 DEATH
MONTH DAY YEAR
D ARE ANY FORMER SPOUSE(S) ALIVE? = YES C 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
MONTH DAY YEAR
D. ARE ANY FORMER SPOUSE(S) ALIVE? !J YES 0 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
c
~
, ,
1ST
2ND
3RD
4TH
I, being duly sworn, depose and sa , that to
as to my right to enter into the marri
21. SIGNATURE OF GROOM.
23.
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D
o
DATE Aug. 25.2000
by New York Domestic
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25. B. SOLEMNIZATION PERIOD
ENDS AT MIDNIGHT ON:
TIME MONTH
DAY
YEAR MONTH DAY YEAR
8 : 35 AM 08
PM
26
00 10 24 00
ZIP
28. PLACE WHERE MARRIAGE ~
A. STATE NEW YORK B~NTY .
C. LOCATION OF CEREMONY
(CHECK ONE AND,rCIFY)
o CITY OF ~OWN OF !/ VILLAGE OF
SPECIFY iJJ J., k, I /j
1!J CIVIL
~