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 Alabama Death Certificate $3 Request


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Print this form and fill it in and mail it.
Everyone has been doing a great job  filling  in their order form exactly as the index has it listed.  Thank you!
Alabama Death Certificate $3 Request
Request for photocopy of
Alabama Death certificate
You may request as many photo copy certificates as you like.
Please fill out this form, send $3. for each one and include a
stamped self addressed #10 size (like your bills come in) envelope.  
Fill in the name, county, date of death,  vol.#
and certificate/page# for each one (certificate# and page# mean the same thing)
Name*
county of
death
date of death
vol.#
certificate or page #
1.
2.
3.
4.
5.
6.
7.
 Your name ______________________________
Your address ________________________
_________________________________
Your email__________________________
Mail this form, a  money order (which I prefer, you can get
them at the Post office) for the total amount or a  good check, and a stamped
(make sure you have enough postage) self addressed
envelope #10 size(like your bills come in) or larger  to:
Susette Cook
330 Stuart Drive
Odenville, Alabama
35120
* Names should be spelled exactly as you found them in the index.
*It would be nice if you would also include $1 extra to help cover the cost of gas.