APPLICATION FOR CERTIFIED COPY OF MARRIAGE CERTIFICATE
(Please Print)
Groom’s Full Name ______________________________________________________
Bride’s Full Maiden Name _________________________________________________
Date of Marriage ____________________ Town of Marriage_____________________
INFORMATION OF PERSON MAKING APPLICATION
Name: ___________________________________________________________
Address: __________________________________________________________
Town/City: _________________________ State: _____________ Zip: _________
Phone# ________________________________
Signature: _______________________________________ Date:________________
Fee: $20.00 per copy Number of Copies Requested ____________
TO EXPEDITE YOUR REQUEST PLEASE INCLUDE:
Certified check or money order made payable to: Meriden City Clerk
Please include a stamped self-addressed envelope
Mail To: Denise L. Grandy - City Clerk
142 East Main St., Room 124
Meriden, CT 06450
click to sign
signature
click to edit
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome