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Marriage Certificate

Please enter the required information below.

Price$10.00

Quantity

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Record of Marriage Information:Name 1*

Name 1 is required.

Name 2*

Name 2 is required.

Date of Marriage*?

Date of Marriage is required.

Mail To:

Requestor's Full Name*

Requestor's Full Name is required.

Mailing Address*

Mailing Address is required.

City/Town*

City/Town is required.

State*

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Zip Code*

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Daytime Phone Number*?

Daytime Phone Number is required.

Email Address*

Email Address is required.

Notes:

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