HomeMy WebLinkAbout05-28-09•
Appl No. 2009 - 00454
• •
MARRIAGE RECORD
1. COUNTY ISSUING LICENSE 2a. WHERE MARRIED-CITY, BORO, TOWNSHIP 2b. COUNTY 3. DATE OF MARRIAGE
(Month, Day, Year)
CUMBERLAND
4a. NAME OF PERSON PERFORMING CEREMONY 4b. TITLE 4c. ADDRESS OF PERSON PERFORMING CEREMONY
(Street, City or Town, State, Zip Code)
GROOM BRIDE
5. Full Name ALAFOGIANNIS VASILLI ATHANASIOS 14. Full Name TSITSIRIS ARETI D
Maiden Surname
6. Mailing Address 4220 CAMPBELL AVE APT 1011 15. Mailing Address 4220 CAMPBELL AVE APT 1011
ARLINGTON ARLINGTON
7. Residence: ARLINGTON 16. Residence: ARLINGTON
a. State VA b. County a. State VA b. County
c. Location c. Location
(1) City of ARLINGTON (1) City of ARLINGTON
(2) Borough of (2) Borough of
(3) Township of (3) Township of
8.Occupation 17.Occupatio
ECIAL AGENT DEPT STATE
SPECIAL AGENT DEPT STATE SP
9. Date of Birth Age 10. Birthplace 18. Date of Birth Age 19. Birthplace
10/01/1974 34 NEW YORK NY 1/08/1982 27 READING PA
11a. Number 11b. How and When Dissolved 20a. Number 20b. How and When Dissolved
of Prior 0 of Prior p
Marriages Marriages
12. Cause(s) If Divorced 21. Cause(s) If Divorced
13. Education (0-12) ,College (1-4 or 5+) 22. Education (0-12) ,College (1-4 or 5+)
12 ~ 5+ 12 ; 5+
Date License Issued (Month, Day, Year) Date Report Sent (Month, Day, Year) Signat of Clerk
To Vital Statistics:
Given and S r ame of Father Given and Surname of Father
ALAFOGIANNIS ATHANASIOS APOSTOLOS TSITSIRIS DIMITRIOS T
iven and Surname of Mother Given and Surname of Mother
ALAFOGIANNIS ROSEANNE MARIE TSITSIRIS PARASKEVI P
~Uaiden Name of Mother Maiden Name of Mother
BENEVENTO PATESTAS
Residence of Father Residence of Father
DECEASED 1124 W POWDERHORN RD MECHANICSBURG PA
Residence of Mother Residence of Mother
21-31 SHORE BLVD ASTORIA NY 1124 W POWDERHORN RD MECHANICSBURG PA
Occupation of Father Occupation of Father
DECEASED SELF EMPLOYED
Occupation of Mother Occupation of Mother
UNEMPLOYED HOMEMAKER
Birthplace of Father Birthplace of Father
GREECE GREECE
Birthplace of Mother Birthplace of Mother
NEW YORK GREECE
Is applicant afflicted with any transmissible disease? Is applicant afflicted with any transmissible disease?
No No
Is applicant now under the influence of any intoxicating Is applicant now under the influence of any intoxicating
liquor or narcotic drug? No liquor or narcotic drug? No
Relationship of parties making this application, if any.
NONE
We, the undersigned, in accordance with the statements hereinabove contained, the facts set forth wherein we and each of us do solemnly
swear are tr a and correct to the best of our knowledge, information, and belief, do by ma ication to the Clerk of the Orphans' Court of
~he above ou` ty, for a li n e to arry.
Signat plica ignature of pplicant
Sworn and subscribed to before me this
May 28th
Filed
28th May
day of
2009
License Issued ~-~- 0'2~~`" ,aD(~~l
~a~ 0000454
No.
A n 2009
My Commission Expires
P~
January 4th 2010
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