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Birth Certificate Application - Minnesota Department of …

Minnesota Statutes, section 144.226. ☐ Credit card: MasterCard/VISA/Discover: Cardholder name Valid thru MM/YY: Card number 3-digit security code ☐ Check: Check # Make check or money order payable to the Minnesota Department of Health and send by mail with application. DO NOT SEND CASH. Checks returned for non -payment will result in a $30 ...

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