049
STATE OF NEW YORK r STATE FILE NUMBER I
(THIS SPACE FOR STATE USE CWLt')
COUNl'Y Dutchess DEPARTMENT OF HEALTH
~lltYfTOWN Wappinger ~ fJ /1.<i/bV
DISTRICT,. 1168 AFFIDA VIT, LICENSE and
NUMBER
REGISTER 49 CERTIFICATE OF
NUMBER
MARRIAGE Lo SUPPLEMENTAL FILE ~
FROM THE GROOM FROM THE BRIDE
23. SUBSCRIBED AND SWORN TO BEFORE ME
SIGNATURE OF TOWN OR CITY CLERK ~
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 of a second or subsequent ceremon .
~ 24. TOWN OR CITY CLERK 25. A. SOLEMNIZATION PERIOD BEGINS
} NAME(PRINl1~~ H ~ ~own c~
{SEAL SIGNATURE ~ , I ~ J t DATE 5/2 / 00
MAILING ADDRESS
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owledge and belief that the information I provided is true and t at I declare that no legal ImpedIment eXIsts
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22. SIGNATURE OF BRIDE ~ L- i t://k-''f! C'r.:..//;
us CURRENT NAME
Town Clerk
1. A, FULL NAME
MSlt"t"hpw P
FIRST MIDDLE
RSlnSll1n
CURRENT SURNAME
11.
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B, BIRTH NAME. IF DIFFERENT
C, SURNAME AFTER MARRIAGE
(OPTIONAL. SEE REVERSE)
D, SOCIAL SECURITY NUMBER 0 R 0- 7 7 - F. 711
2. RESIDENCE A. (sf~/i)w York B, (cg~~chess
c, CHECK ONE :J CITY ex TOWN 0 VILLAGE
AND
SPECIFY Wappinger
D, STREET ADDRESS 4 Hiview Rd ZIP 121)90
E. IS RESIDENCE WITHiN UMITS OF CITY OR INCORPORATED VILLAGE? 0 YES IS NO
3. A, AGE 2 I) 3B. DATE OF BIRTH npC' /07 /1 q 7 ~
MONTH DAY YEAR
4, EMPLOYMENT
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A. USUAL OCCUPATION Sales Represeni tive
B. TYPE OF INDUSTRY OR BUSINESS R;:l cH 0 ~h;:l C' k
5. PLACEOFBIRTH Cold ~nrinp.._NE!w York
ICITY. STATElCOUNmy IF Nai"USA)
6. FATHER
A. NAME Richard M. Ranallo
B. COUNTRY OF BIRTH IJSA
7, MOTHER
A. MAIDEN NAME Gloria A. Benedetto
B, COUNTRY OF BIRTH USA
B, NUMBER OF THIS MARRIAGE Fir ~ t"
9. PREVIOUS MARRIAGES
A, NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY
DIVORCE CIVIL ANNULMENT
DEATH
B. HOW DID LAST MARRIAGE END? (3) 0 DIVORCE
C, DATE LAST MARRIAGE ENDED?
(3) 0 ANNULMENT
/ /
(2) 0 DEATH
MONTH DAY
D, ARE ANY FORMER SPOUSE(S) ALIVE? 0 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
YEAR
1ST
2ND
3RD
4TH
I. being duly sworn, depose and say, that t
as to my right to enter into the marriag t
21, SIGNATURE OF GROOM ~
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11, A. FULl NAME
r.SI rn 1
FIRST
Vill",hol
CURRENT SURNAME
T
MIDDLE
B. BIRTH NAME (MAIDEN NAME), IF DIFFERENT
C, SURNAME AFTER MARRIAGE Ranallo
(OPTIONAL. SEE REVERSE)
D, SOCIAL SECURITY NUMBER 1 79- 7 !J.- P. F. 7 7
12. RESlDENCEA. New York B, nutchess
iiTATm (COONT'Yj
C, CHECK ONE 0 CITYJ(] TOWN 0 VILLAGE
AND
SPECIFY W;:lppi n gE!r
0, STREET ADDRESS 4 HiviE!w Rd ZIP I21)QO
E. IS RESIDENCE WITHIN LIMITS OF CITY OR INCORPORATED VILLAGE? 0 YES iXI NO
13.A. AGE 77 13.B.DATEOFBIRTH !=;pnf"TH /17 /lQ7?
Mi5N' DAY YEAR
14. EMPLOYMENT
A. USUAL OCCUPATION Homem;:l kE! r
B. TYPE OF INDUSTRY OR BUSINESS nnpmp 1 nyprl
15. PLACE OF BIRTH 011ppn,,_ Npw Ynrk
(CITY. 'STAfEiCOOjijfRY IF NOT USA)
16. FATHER
A. NAME .Joseph A. Villahol .Jr.
B, COUNTRY OF BIRTH IT~A
17, MOTHER
A. MAIDEN NAME Arlene n. Bell
B. COUNTRY OF BIRTH IT ~ A
18, NUMBER OF THIS MARRIAGE ~..,.. nn rl
19. PREVIOUS MARRIAGES
A. NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY
DIVORCE CIVIL ANNULMENT
Onp
DEATH
B. HOW DID lAST MARRIAGE END? (3) IX DIVORCE (3) 0 ANNULMENT ,21 C DEATH
C, DATE LAST MARRIAGE ENDED? TunE' / 17 /1 QQ9
MONTH DAY ye.(R
D, ARE ANY FORMER SPOUSE(S) ALIVE? Xl YES 0 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
6/17/99 NY Co. New York ~
DATE
by New York Domestic
25. B. SOlEMNIZATION PERIOD
ENOS AT II1DNIGHT ON:
TIME
MONTH
DAY
YEAR
MONTH
DAY
YEAR
AM
2:45PM
05
03
00
07
01
00
28. PLACE WHERE MARRIAGE OCCURRED
A. STATE NEW YORK B. COUNTY )\.~
C. LOCATION OF CEREMONY
(CHECK ONE AND SPECIFY)
~GE OF
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