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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_tbcfC113441Name of Either Spouse is required.

Date of Marriage*?

sm_tbcfC113442Date of Marriage is required.

MAIL TO:

Applicant's Name*

sm_tbcfC113444Applicant's Name is required.

Mailing Address*

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Mailing Address (cont'd)

City/Town*

sm_tbcfC113447City/Town is required.

State*

sm_tbcfC113448State is required.

Zip Code*

sm_tbcfC113449Zip Code is required.

Daytime Phone Number*?

sm_tbcfC113450Daytime Phone Number is required.

Email Address*

sm_tbcfC113451Email Address is required.

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$0.50