Transcription of REG-27, Application for Non-Genealogical …
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REG-27a SEP 17 FOR STATE USE ONLY Payment Type: Cash M/O Chec k W aived Amount: $ ID Viewed Processed By: Application FOR A Non-Genealogical CERTIFICATION OR CERTIFIED COPY OF A VITAL RECORD Certified Copy Certified Copy for an Apostille Seal Certification Requestor s Relationship to Person on Record (proof is required for certified copy) Requestor s Signature Date (of request) Middle First Last Reasons for Request Passport Driver s License School / Sports Veterans Benefits Social Security Card / Benefits Medicare Welfare / DisabilityOther: Current Mailing Address (must match address on ID) Street City State Zip Code Email Address @ . BIRTH Child s Name at Birth Last No. Requested Copies County Date of Birth Name of Child s Parents (name given at birth or on birth certificate / Maiden Name) Parent A First Middle Last Parent B First Middle Last If Child s name was changed: New NameDescribe Change:MARRIAGE CIVIL UNION DOMESTIC PARTNERSHIP No.
REG-27a SEP 17 FOR STATE USE ONLY Payment Type: Amount: Processed ByCash M/O Check Waived $ ID Viewed : APPLICATION FOR A NON-GENEALOGICAL CERTIFICATION OR CERTIFIED COPY OF A VITAL RECORD Certified Copy
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ALABAMA COUNTY HISTORICAL AND, Alabama county historical and genealogical societies, Genealogical, THE OLD NEW HANOVER GENEALOGICAL SOCIETY, TRADE DIRECTORIES IN THE LIBRARY, INSTITUTE OF HERALDIC AND GENEALOGICAL, QUERY Notice the research goal, RELATIONSHIP CHART, PIONEER FAMILIES OF SOUTHWESTERN, Pioneer Families of Southwestern Pennsylvania