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Get Death Certificate Texas

COPIES X $20.00 EXTRA COPIES X $3.00 TOTAL ENCLOSED TOTAL ENCLOSED PLEASE PRINT See Reverse Side for Instructions 1. Full Name of Person on Record 2. Date of Birth or Death First Name Middle Name Month Day 4. Place of Birth or Death 5. Full Name of Father 6. Full Maiden Name of Mother City or Town County State First Name Middle Name Last Name First Name Middle Name Maiden Name 7. Last Name Year 3. Sex 8. TELEPHONE #: ( APPLICANT'S NAME: ) (MON-FRI 8:00-5:00) EM.

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