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Vs 24 C Form

Vs 24 C Form

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ON MARRIAGE CERTIFICATE IN FIELD 1B 1C. CURRENT LAST NAME AS LISTED ON MARRIAGE CERTIFICATE FIELD 1C 1D. BIRTH LAST NAME, IF DIFFERENT FROM FIELD 1C 3. COUNTY IN WHICH THE LICENSE WAS ISSUED PL E INFORMATION AS IT 2. DATE OF MARRIAGE—MM/DD/CCYY APPEARS ON ORIGINAL RECORD 4A. FIRST NAME AS LISTED ON MARRIAGE CERTIFICATE IN FIELD 12A 4B. MIDDLE NAME AS LISTED ON MARRIAGE CERTIFICATE IN FIELD 12B 4C. CURRENT LAST NAME AS LISTED ON MARRIAGE CERTIFICATE FIELD 12C 4D. BIRTH LAST NAME, IF...
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