ÐÏà¡±á > þÿ m Ž þÿÿÿ l | ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿì¥Á s ø¿ 49 bjbj>R>R Öx \8ij\8ija ¡ ÿÿ ÿÿ ÿÿ · 8 8 1 1 1 1 1 ÿÿÿÿ E E E 8 } \ Ù 4 E z% 4 2 ? ? ? ? V ú P ” ä L É$ Ë$ Ë$ Ë$ Ë$ Ë$ Ë$ ®' ¶ d* Ô Ë$ i 1 4 " V Ë$ 1 1 ? ? õ 4% â" â" â" F 1 ? 1 ? É$ â" É$ â" â" =# e# ? ÿÿÿÿ €¸fÔJÜ ÿÿÿÿ Z ^ U# µ$ J% 0 z% ]# 8+ ¸ X 8+ e# 8+ 1 e# P 0 " R â" j ~ – 0 0 0 Ë$ Ë$ ! Ò 0 0 0 z% ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ ÿÿÿÿ 8+ 0 0 0 0 0 0 0 0 0 8 ¿ ÷ : Application for a Certified Copy of a Marriage or Civil Union Record Please complete ALL items 1-5 below. If you type your information, use the tab key on your keyboard to move to each gray-shaded field. 1. Please fill in the information below for the person whose marriage or civil union record you are requesting. Full name of Groom/Party A: FORMTEXT F u l l n a m e o f B r i d e / P a r t y B : F O R M T E X T F u l l n a m e a t b i r t h o f G r o o m / P a r t y A ( i f d i f f e r e n t ) : F O R M T E X T F u l l n a m e a t b i r t h o f B r i d e / P a r t y B ( i f d i f f e r e n t ) : F O R M T E X T D a t e o f m a r r i a g e : F O R M T E X T c i v i l u n i o n : F O R M T E X T C i t y / T o w n o f m a r r i a g e / c i v i l u n i o n : F O R M T E X T 2 . I a m a p p l y i n g f o r t h e m a r r i a g e o r c i v i l u n i o n r e c o r d o f ( c o m p l e t e o n e o f t h e f o l l o w i n g ) : F O R M C H E C K B O X m y s e l f F O R M C H E C K B O X m y p a r e n t F O R M C H E C K B O X m y c h i l d F O R M C H E C K B O X m y g r a n d p a r e n t s F O R M C H E C K B O X m y b r o t h e r o r s i s t e r F O R M C H E C K B O X m y c l i e n t . I m a n a t t o r n e y r e p r e s e n t i n g : F O R M T E X T . T h e n a m e o f t h e l a w f i r m i s : F O R M T E X T F O R M C H E C K B O X a n o t h e r p e r s o n ( p l e a s e s p e c i f y ) : F O R M T E X T 3 . W h y d o y o u n e e d t h i s r e c o r d ? ( W e a s k t h i s q u e s t i o n s o t h a t w e c a n s u p p l y y o u w i t h a c e r t i f i e d c o p y t h a t w i l l b e s u i t a b l e f o r y o u r n e e d s . ) F O R M C H E C K B O X u p d a t e r e c o r d s F O R M C H E C K B O X h e a l t h i n s u r a n c e F O R M C H E C K B O X f o r e i g n g o v e r n m e n t ( s p e c i f y c o u n t r y o f u s e ) : F O R M T E X T F O R M C H E C K B O X v e t s b e n e f i t s F O R M C H E C K B O X l e g a l p u r p o s e s F O R M C H E C K B O X o t h e r u s e ( s p e c i f y ) : F O R M T E X T 4 . W a l k - I n C o p i e s c o s t $ 2 2 . M a i l - I n C o p i e s c o s t $ 2 5 . A d d i t i o n a l c o p i e s o f t h i s r e c o r d p u r c h a s e d t h e s a m e d a y c o s t $ 1 8 e a c h . H o w m a n y c o p i e s d o y o u w a n t ? F O R M T E X T ( M a k e c h e c k / m o n e y o r d e r p a y a b l e t o : G e n e r a l T r e a s u r e r o f R I ) 5 . I h e r e b y s t a t e t h a t ( ? 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