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STATE OF NEW .YO,RK
DEPARTMENT OF HEALTH
AFFIDAVIT, LICENSE and
CERTIFICATE OF
MARRIAGE
FROM THE GROOM
Anthony R. Vacarr
FIRST MIDDLE CURRENT SURNAME
COUNTY
Cll~ITOWN
O!5T3ICT
NUMBER
REGISTER
NUMBER
nl1t"~heRR
Wappinger
1368
97
1. A. FULL NAME
B. BIRTH NAME. IF DIFFERENT
C. SURNAME AFTER MARRIAGE
(OPTIONAL' SEE REVERSE)
o SOCIAL SECURITY NUMBER
2. RESIDENCEA. New York B. nutchess
Wi'A'TEI' (~uNfYl
C. CHECK ONE 0 CITY ~ TOWN 0 VilLAGE
AND
SPECIFY Wappin~cr
o STREET ADDRESS 6 Marlorville Rd.
083-40-2547
E. IS RESIDENCE WITHiN LIMITS OF CITY OR INCORPORATED VILLAGE?
3 A. AGE '52 3B. DATE OF BIRTH Nov. /
MONTH
ZIP 12590
fJ YES ~ NO
26 /1947
DAY YEAR
4. EMPLOYMENT
A. USUAL OCCUPATION Sr. Field Coordinator
B. TYPE OF INDUSTRY OR BUSINESS Hazen & Sawyer PC
5. PLACE OF BIRTH Queens. New York
(CITY. STATE/COUNTRY IF NOT USA)
6. FATHER
A. NAME Anthony M. Vacarr
B. COUNTRY OF BIRTH USA
7. MOTHER
Marion Grey
USA
8. NUMBER OF THIS MARRIAGE Second
A. MAIDEN NAME
B. COUNTRY OF BIRTH
9. PREVIOUS MARRIAGES
A. NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY
DIVORCE CIVil ANNULMENT
One
B. HOW DID LAST MARRIAGE END? (3) ~ DIVORCE (3) 0 ANNULMENT (2) C DEATH
C. DATE LAST MARRIAGE ENDED? March / 22 /1999
MONTH DAY YEAR
D. ARE ANY FORMER SPOUSE(S) ALIVE? ~ 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
1ST 1/22/99 Dutchess Co. N.Y. ~
2ND
3RD
4TH
I. being duly sworn. depose and ay,
as to my right to enter into the arria
DEATH
w
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21. SIGNATURE OF GROOM~
23. SU8SCRIBED AND SWORN TO BEFORE ME
SIGNATURE OF TOWN OR CITY CLERK ~
ThiS license authonzes the marriage in New York State of the bnde and
o If checked. this license is to be used only for the pu
24. TOWN OR CITY CLERK
NAME (PRINT~laine H. Snowden
SIGNATURE ~Il. t ~ ~.A",^.d"A.
MAILING ADDRESS
~
{ SEAL }
'-v-I
FROM THE BRIDE
Linda .T. Muren
FIRST MIDDLE CURRENT SURNAME
8. BIRTH NAME (MAIDEN NAME). IF DIFFERENT Cappetta
C. SURNAME AFTER MARRIAGE Vacarr
(OPTIONAL. SEE REVERSE) 075 40 4917
D. SOCIAL SECURITY NUMBER --
12. RESIDENCEA. New York B Dutchess
(STATE) . (COUNTY)
C. CHECK ONE 0 CITY ~ TOWN 0 VilLAGE
~~CIFY Wappinger
D. STREET ADDRESS Mar lorville Rd.
11. A. FULL NAME
r- ..,""s;; '-'~ ___~n
(THIS SPACE FOR STATE USE ONL Y)
~/~~/oO
Lo SUPPLEMENTAL FILE .J
ZIP
12590
E. IS RESIDENCE WITHIN LIMITS OF CITY OR INCORPORATED VILLAGE? 0 YES ~ NO
13.A. AGE ')2 13.B.DATEOFBIRTH June /23 /1947
MONTH DAY YEAR
14. EMPLOYMENT
A. USUAL OCCUPATION
Homemaker
B. TYPE OF INDUSTRY OR BUSINESS
1S.PLACEOFBIRTH Brooklvn. New York
(CITY. STATElCO'ONTAY IF NOT USA)
16. FATHER
A. NAME
B. COUNTRY OF BIRTH
Ralph Cappetta
USA
17. MOTHER
A. MAIDEN NAME Theresa Izzo
B. COUNTRY OF BIRTH I tal y
18. NUMBER OF THIS MARRIAGE Third
19. PREVIOUS MARRIAGES
A. NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY
DIVORCE CIVIL ANNULMENT
Two
B. HOW DID LAST MARRIAGE END? (3) ~ DIVORCE (3) [J ANNULMENT (2) 2 DEATH
C. DATE LAST MARRIAGE ENDED? June /09 /2000
MONTH DAY YEAR
D. ARE ANY FORMER SPOUSE(S) ALIVE? ~ YES fJ 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
10/11/96 NasRau Co. NY 0 ~
06/0Q/OO nutchess Co. NY fJ ~
NAME (PRINT)
SIGNATURE ~
DEATH
o '-
'--
sa of a second or subsequent ceremony.
25. A. SOlEMNtZATION PERIOD BEGINS
TIME
MONTH
YEAR
MONTH
YEAR
IP
AM 06
1:45 PM
20
00
22
00
08
1~
28. PLACE WHERE MARRIAGE OCCURRE-17 f.,,-/.
A STATE NEW YORK B. COUNTY~,,?
C. LOCATION OF CEREMONY
(CHECK ONE AND SPECI
...