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Marriage Certificate

Please enter the required information below.

Price$11.00

Quantity

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RECORD INFORMATION:Name of Either Spouse*

sm_tbcfC133697Name of Either Spouse is required.

Date of Marriage*?

sm_tbcfC133698Date of Marriage is required.

MAIL TO:

Applicant's Name*

sm_tbcfC133700Applicant's Name is required.

Mailing Address*

sm_tbcfC133701Mailing Address is required.

Mailing Address (cont'd)

City/Town*

sm_tbcfC133703City/Town is required.

State*

sm_tbcfC133704State is required.

Zip Code*

sm_tbcfC133705Zip Code is required.

Daytime Phone Number*?

sm_tbcfC133706Daytime Phone Number is required.

Email Address*

sm_tbcfC133707Email Address is required.

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