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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.

state of hawaii, department of health office of health status monitoring 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 = $

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  Department, Divorce, Hawaii

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