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Request for Birth, Death or Marriage Record from 1885 to 1911

  1. First and last name
  2. Please put your name so we know who we are contacting with the information found.
  3. This is the email address that will be used to contact you with the information found in the request. If an email address is not submitted there is no way to contact you with the information found.
  4. Please supply any additional information that would assist in the search of the record you are requesting.
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  6. This field is not part of the form submission.