On November 20, 2023 a
Complaint,Petition
was filed
involving a dispute between
Sarah Anzalone,
and
James V Mcdonald M.D., M.P.H.
The Commissioner, New York State Department Of Health,
for Special Proceedings - CPLR Article 78
in the District Court of Albany County.
Preview
FILED: ALBANY COUNTY CLERK 11/20/2023 05:05 PM INDEX NO. 911191-23
NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 11/20/2023
SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF ALBANY
x
In the Matter of the Application of Index No.:
SARAH ROSEANZALONE *rft*
Petitionef, ARTICTE 78 PROCEEDING
***
- against - :
VERIFIED PETITION
TO OBTAIN
IAMES V. MCDONALD M.D., M.P.H. VITAL RECORDS
the Commissionex UNDER
New York State Deparfment of Health PUBTIC HEAI.f,H LAW
ss4173 - 4174
Respondent,
TO THE COURT:
Petitionel Sarah Rose Anzalone, respectfully shows to this Court as followsr
1. Petitioner resides atZA6 South Street, Glens Falls NY 12801.
a. ExhibitA: Petitioner's Driver's License
b. Exhibit B: Petitioner's U.S. Passport
2. The respondent is New York State Department of Health, Vital Records Section,
Certification Unit, which is responsible for the maintenance of vital records in the
State ofNew York
3. Petitioner seeks three [3J certified copies of each of the following documents:
a. Extended - form (also referred to as "Long Form") Certificate of Birth of
Richard Edward Davidson, child of Edward loseph Davidson and Rosaria
Maria Isgro IAKA Mary DavidsonJ born April 26, 1958, in Glens Falls, New
York
1 of 4
FILED: ALBANY COUNTY CLERK 11/20/2023 05:05 PM INDEX NO. 911191-23
NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 11/20/2023
b. Extended - form [also referred to as "Long Form") Certificate of Birth of
Rosaria Maria Isgro (AKA Mary Davidson), child of Santo Isgro and Carmela
Torre born April 24, L927 in Fort Edward, New York
c. Extended - form (also referred to as "Long Form"J Certificate of Birth of
Edward foseph Davidson, child of John E. Davidson and Margaret Fox born
fune 6, 1928 in Fort Edward, NewYork.
4. Petitioner is in the process of certi$ring dual ltalian-American citizenship through
|ure Sanguinis. The certification procedure requires that all vital records (Birth,
Death and MarriageJ of applicant and ascendants be presented to the Consulate of
the Italian Republic in New York City.
a. Exhibit C: List of requirements from the Italian Consulate for |ure Sanguinis
applications
5. Petitioner is the daughter of Richard Edward Davidson, and the granddaughter of
Edward foseph Davidson and Rosaria Maria Isgro IAKA Mary Davidson).
a. Exhibit D: Lineage confirmation via birth certificate issued by New York State
for Petitioner
b. Exhibit E: Order for Individual Adult Name Change issued by the Supreme
Court of the State of New York for Petitioner
6. Petitioner has formally requested release of said document and was told by the Vital
Records Section at the New York State Department of Health that a court order from
the New York State Supreme Court is required.
7. Rosaria Maria Isgro (AKA Mary Davidson) died on March 30,20L7. as listed in the
Social Security Death Index.
2 of 4
FILED: ALBANY COUNTY CLERK 11/20/2023 05:05 PM INDEX NO. 911191-23
NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 11/20/2023
a. Exhibit F: Social Security Death Index listing: Ancestry.com
h. Exhibit G: Obituary from M.B. Kilmer Funeral Horne
B. Edward |oseph Davidson died on March 30,20t2 as listed in the Social Security
Death Index.
a. Exhibit H: Social Security Death Index listing from Ancestry.com
9. A prior application has not been made for the relief requested herein. WHEREFORE,
your deponent asks that this court grants Petition and signs the enclosed order
directing that three (3) copies of each of the following extended-form Certificates of
Birth be released to petitioner by the NewYork State Department of Health or any of
its subsidiaries as follows:
Birth Certificate of: Richard Edward Davidson
Date of Birth: April26,L958
Place of Birth: Glens Falls, New York
Father: Edward foseph Davidson
Full Maiden Name of Mother: Rosaria Maria Isgro (At(A Mary Davidson)
Birth Certificate of: Rosaria Maria Isgro
Date of Birth: April?4, L927
Place of Birth: Fort Edward, New York
Father: Santo Isgro
Full Maiden Name of Mother: Carmela Torre
3 of 4
FILED: ALBANY COUNTY CLERK 11/20/2023 05:05 PM INDEX NO. 911191-23
NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 11/20/2023
Birth Certiflcate oft Edward foseph Davidson
Date of Birth: fune 6, 1928
Place of Birth: Fort Edward, New York
Father: John E. Davidson
Full Maiden Name of Mother: Margaret Fox
Resp ectfullY Sub mitted,
h Rose Anzalone I
206 South Street, Glens Falls NY 12801
7BL-686-0278
sarahroseanzalone@ gmail.com
STAIE OF NewYork
couNrYoF LA.i&AAlir'\ . ss:
I
on this D day of t\ $/eWl'E'L:2o23,before me, the undersigned notarypublic,
personally appeared SAMH ROSE ANZALONE, proved to me through satisfactory evidence
if iUentification, which was a current NewYork driver's license, to be the person who
signed the preceding Petition in my presence, and who swore to me that she had read the
contents of said Petition, knew the contents thereof, and that the same is true and accurate
to her ourn knowledge.
ffis%
flfq
Notary Public
4
4 of 4
Document Filed Date
November 20, 2023
Case Filing Date
November 20, 2023
Category
Special Proceedings - CPLR Article 78
For full print and download access, please subscribe at https://www.trellis.law/.
Preview
FILED: ALBANY COUNTY CLERK 11/20/2023 05:05 PM INDEX NO. 911191-23 NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 11/20/2023 SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF ALBANY x In the Matter of the Application of Index No.: SARAH ROSEANZALONE *rft* Petitionef, ARTICTE 78 PROCEEDING *** - against - : VERIFIED PETITION TO OBTAIN IAMES V. MCDONALD M.D., M.P.H. VITAL RECORDS the Commissionex UNDER New York State Deparfment of Health PUBTIC HEAI.f,H LAW ss4173 - 4174 Respondent, TO THE COURT: Petitionel Sarah Rose Anzalone, respectfully shows to this Court as followsr 1. Petitioner resides atZA6 South Street, Glens Falls NY 12801. a. ExhibitA: Petitioner's Driver's License b. Exhibit B: Petitioner's U.S. Passport 2. The respondent is New York State Department of Health, Vital Records Section, Certification Unit, which is responsible for the maintenance of vital records in the State ofNew York 3. Petitioner seeks three [3J certified copies of each of the following documents: a. Extended - form (also referred to as "Long Form") Certificate of Birth of Richard Edward Davidson, child of Edward loseph Davidson and Rosaria Maria Isgro IAKA Mary DavidsonJ born April 26, 1958, in Glens Falls, New York 1 of 4 FILED: ALBANY COUNTY CLERK 11/20/2023 05:05 PM INDEX NO. 911191-23 NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 11/20/2023 b. Extended - form [also referred to as "Long Form") Certificate of Birth of Rosaria Maria Isgro (AKA Mary Davidson), child of Santo Isgro and Carmela Torre born April 24, L927 in Fort Edward, New York c. Extended - form (also referred to as "Long Form"J Certificate of Birth of Edward foseph Davidson, child of John E. Davidson and Margaret Fox born fune 6, 1928 in Fort Edward, NewYork. 4. Petitioner is in the process of certi$ring dual ltalian-American citizenship through |ure Sanguinis. The certification procedure requires that all vital records (Birth, Death and MarriageJ of applicant and ascendants be presented to the Consulate of the Italian Republic in New York City. a. Exhibit C: List of requirements from the Italian Consulate for |ure Sanguinis applications 5. Petitioner is the daughter of Richard Edward Davidson, and the granddaughter of Edward foseph Davidson and Rosaria Maria Isgro IAKA Mary Davidson). a. Exhibit D: Lineage confirmation via birth certificate issued by New York State for Petitioner b. Exhibit E: Order for Individual Adult Name Change issued by the Supreme Court of the State of New York for Petitioner 6. Petitioner has formally requested release of said document and was told by the Vital Records Section at the New York State Department of Health that a court order from the New York State Supreme Court is required. 7. Rosaria Maria Isgro (AKA Mary Davidson) died on March 30,20L7. as listed in the Social Security Death Index. 2 of 4 FILED: ALBANY COUNTY CLERK 11/20/2023 05:05 PM INDEX NO. 911191-23 NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 11/20/2023 a. Exhibit F: Social Security Death Index listing: Ancestry.com h. Exhibit G: Obituary from M.B. Kilmer Funeral Horne B. Edward |oseph Davidson died on March 30,20t2 as listed in the Social Security Death Index. a. Exhibit H: Social Security Death Index listing from Ancestry.com 9. A prior application has not been made for the relief requested herein. WHEREFORE, your deponent asks that this court grants Petition and signs the enclosed order directing that three (3) copies of each of the following extended-form Certificates of Birth be released to petitioner by the NewYork State Department of Health or any of its subsidiaries as follows: Birth Certificate of: Richard Edward Davidson Date of Birth: April26,L958 Place of Birth: Glens Falls, New York Father: Edward foseph Davidson Full Maiden Name of Mother: Rosaria Maria Isgro (At(A Mary Davidson) Birth Certificate of: Rosaria Maria Isgro Date of Birth: April?4, L927 Place of Birth: Fort Edward, New York Father: Santo Isgro Full Maiden Name of Mother: Carmela Torre 3 of 4 FILED: ALBANY COUNTY CLERK 11/20/2023 05:05 PM INDEX NO. 911191-23 NYSCEF DOC. NO. 1 RECEIVED NYSCEF: 11/20/2023 Birth Certiflcate oft Edward foseph Davidson Date of Birth: fune 6, 1928 Place of Birth: Fort Edward, New York Father: John E. Davidson Full Maiden Name of Mother: Margaret Fox Resp ectfullY Sub mitted, h Rose Anzalone I 206 South Street, Glens Falls NY 12801 7BL-686-0278 sarahroseanzalone@ gmail.com STAIE OF NewYork couNrYoF LA.i&AAlir'\ . ss: I on this D day of t\ $/eWl'E'L:2o23,before me, the undersigned notarypublic, personally appeared SAMH ROSE ANZALONE, proved to me through satisfactory evidence if iUentification, which was a current NewYork driver's license, to be the person who signed the preceding Petition in my presence, and who swore to me that she had read the contents of said Petition, knew the contents thereof, and that the same is true and accurate to her ourn knowledge. ffis% flfq Notary Public 4 4 of 4