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51 A 1E OF, NEW YORK
DEPARTMENT OF HEALTH
AFFIDAVIT, LICENSE and
CERTIFICATE OF
MARRIAGE
FROM THE GROOM
Daniel J.
This license authorizes the marriage in New York State of the bride and groom named above by any person authorized
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 u se of a second or subsequent ceremony.
~ } ~:;~:I~~~C~:. Ih- ~Tarom OJ Prk ,. ^ """"""noN ""'''''''''''''
{SEAL SIGNATURE~_t1VJl ~~...{~t..l,"-DATE5/3/00 TIME MONTH DAY YEAR
MAILING ADORE 10 : 45 AM
'-.t-I PM 5 4 00
I
1~IVIL
COUNTY
~!.WN
DISTRICT
NUMBER
REGISTER
NUMBER
Dutchess
Wappinger
1368
50
1. A. FULL NAME
Cummings
CURRENT SURNAME
FIRST
MIDDLE
11.
N
8. BIRTH NAME. IF DIFFERENT
C. CHECK ONE
AND
SPECIFY
293-52-2352
B. Dutchess
(COUNTY)
o VILLAGE
3. A. AGE
46
3B. DATE OF BIRTH
May
MONTH
4. EMPLOYMENT
UJ
>-
~
rJl
A. USUAL OCCUPATION Sys tems Consul tan t
B. TYPE OF INDUSTRY OR BUSINESS IBM Corp.
5. PLACE OF BIRTH Berea. Ohio
(CITY. STATE/COUNTRY IF NOT USA)
6. FATHER
A. NAME
B. COUNTRY OF BIRTH
7. MOTHER
A. MAIDEN NAME Margaret L. Corson
B. COUNTRY OF BIRTH USA
8. NUMBER OF THIS MARRIAGE Second
Robert L. Cummings
USA
9. PREVIOUS MARRIAGES
A. NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY
DIVORCE CIVIL ANNULMENT
One
DEATH
B. HOW DID LAST MARRIAGE END? (3) Xi DIVORCE 13! 0 ANNULMENT 121 C DEATH
C. DATE LAST MARRIAGE ENDED? Dec. /16 / 1997
MONTH DAY YEAR
D. ARE ANY FORMER SPOUSE(S) ALIVE? !X YES ::J NO
10. IF PREVIOUSLY DIVORCED OR ANNULED, PROVIDE THE FOLLOWING INFORMATION
DATE OF DECREE PLACE ISSUED AGAINST WHOM
(MONTH. DAY. YEAR) iCITY, STATE/COUNTRY. IF NOT USA) SELF SPOUSE
12/16/97 Medina County, Ohio ~
1ST
2ND
3RD
4TH
I, being duly sworn, depose and say, t
as to my right to enter into the mama
o
o
21. SIGNATURE OF GROOM ~
w
(/)
Z
W
o
::J
.r- STATE FILE NUMBER I
(THIS SPACE FOR STAT!: USE ONLY)
/51,,)D0
Lo SUPPLEMENTAL FILE ~
11. A. FULL NAME
FROM THE BRIDE
Maria
FIRST
DeTomaso
CURRENT SURNAME
E.
MIDDLE
C. CHECK ONE
AND
SPECIFY
DiDio
Cummings
118-54-9898
B. Dutchess
(COUNTY)
CJ VILLAGE
B. BIRTH NAME (MAIDEN NAME), IF DIFFERENT
C. SURNAME AFTER MARRIAGE
(OPTIONAL. SEE REVERSE)
D. SOCIAL SECURITY NUMBER
12. RESIDENCEA. New York
(STATE)
o CITY Xl TOWN
Wappinger
19G White Gate Drive
13. A. AGE
40
14. EMPLOYMENT
A. USUAL OCCUPATION Day Care
B. TYPE OF INDUSTRY OR BUSINESS ( Privately)
15. PLACE OF BIRTH Bronx, New York
(CITY, STATE/COUNTRY IF NOT USA)
16. FATHER
A. NAME Alfred DiDio
B. COUNTRY OF BIRTH USA
17. MOTHER
A. MAIDEN NAME
B. COUNTRY OF BIRTH
Edith DeSantis
USA
Second
lB. NUMBER OF THIS MARRIAGE
19. PREVIOUS MARRIAGES
A. NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY
DIVORCE CIVIL ANNULMENT
One
DEATH
B. HOW DID LAST MARRIAGE END? 13!Xl DIVORCE 31 CJ ANNULMENT (2) ~ DEATH
C. DATE LAST MARRIAGE ENDED? Aug. / 9 /1993
MONTH DAY YEAR
D. ARE ANY FORMER SPOUSEISI ALIVE? :lC YES = 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
8/9/93 Poughkeepsie, New York ~
,-
~
2000
by New York Domestic
25. 8. SOLEMNIZATION PERIOD
ENDS AT MIDNIGHT ON:
MONTH
DAY
YEAR
7
00
2
28. PLACE WHERE MARRIAGE OCCURRED
A. STATE NEW YORK B. COUNTY ~
C. LOCATION OF CEREMONY
(CHECK ONE AND SPECIFY) ,/
o CITY OF 0 TOWN OF f*f VILLAGE OF
SPECIFY~r fqlls