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Vital Records Retrieval
  
Application for copy of Record of Death
 After completing the details of the form below, click the SUBMIT button.

*indicates required fields 
  *First Name:
  *Last Name:
  *Mailing Address:
  *City or Town:
  *State:
  *Zip Code / Country:
  *E-Mail Address:
  Addition Copies:  NONE
 Addition Copies $20.00
  *Name of Deceased:
  Maiden Name (If Applicable):
  Name of Spouse (If Applicable):
  Date of Death:
  Shipping Options:  DHL International
 Priority Mail USPS $9.50
 FedEx Next Business Day $45.00
 FedEx Next Day Before 11 AM $65.00
 FedEx Saturday Services $85.00
 Shipping Out of United States

Upon submission of this form, you will receive a PayPal invoice to your email, whiall fees, plus a $20 service charge. The invoice must be paid before services will be rendered.ch will include 
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