Transcription of REQUEST FOR CERTIFIED COPY OF DIVORCE
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REQUEST FOR CERTIFIED COPY OF DIVORCE
STATE OF HAWAII, DEPARTMENT OF HEALTHOFFICE OF HEALTH STATUS MONITORINGREQUEST FOR CERTIFIED copy OFDIVORCERECORDIMPORTANT! THIS OFFICE ONLY HAS DIVORCE RECORDS FROM July 1951 TO December 2002 ALL OTHER DIVORCE RECORDS ARE KEPT IN THE COURT WHERE THE DIVORCE TOOK PLACE. 1 FIRST CERTIFIED copy = $ ADDITIONAL COPIES AT $ EACH= $ OTHER:_____ = $ TOTAL COPIESTOTAL AMOUNT DUEFIRSTMIDDLELASTHUSBAND'SNAME:FIRSTMID DLEMAIDENWIFE'SNAME:MONTHDAYYEARDATE OFDIVORCE:CITY OR TOWNISLANDPLACE OFDIVORCE:RELATIONSHIP OF REQUESTOR TOPERSON NAMED ON CERTIFICATEREASON FOR THIS REQUESTSIGNATURE OFREQUESTOR:PRINT NAME OF REQUESTOR:TELEPHONE NUMBERSRES:BUS:ADDRESS OF REQUESTOR:NO. AND STREET OR BOXCITYSTATEZIPIF MAILING TO ALOCATION OTHERTHAN ABOVE,PLEASE FILL THE INFORMATION GIVENIS INCORRECT, THECERTIFICATE WILL FAIL TOREACH THE OF PERSON TO RECEIVE CERTIFICATE AGENCY OR ORGANIZATION NUMBER AND STREET OR BOX CITYSTATEZIPFOR OFFICE USE ONLY NR FILE PENDING:INDEX SEARCHEDFROMTOVOLUMES SEARCHEDFROMTODATE copy PREPAREDYEARVOLUMECERTIFICATERECEIPT N
request for certified copy of divorce record important! this office only has divorce records from july 1951 to december 2002 all other divorce records are kept in the court where the divorce took place. 1 first certified copy = $ 10.00 additional copies at $4.00 each = $ other:_____ = $ total copies total amount due
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