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Marriage Certificate

Please enter the required information below.

Price$11.50

Quantity

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RECORD INFORMATION:Name of Either Spouse*

sm_tbcfC107354Name of Either Spouse is required.

Date of Marriage*?

sm_tbcfC107355Date of Marriage is required.

MAIL TO:

Applicant's Name*

sm_tbcfC107357Applicant's Name is required.

Mailing Address*

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Mailing Address (cont'd)

City/Town*

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State*

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Zip Code*

sm_tbcfC107362Zip Code is required.

Daytime Phone Number*?

sm_tbcfC107363Daytime Phone Number is required.

Email Address*

sm_tbcfC107365Email Address is required.

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