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 Alabama Death Certificate $3 Request


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Print this form and fill it in and mail it. Do not mail cash.
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 1908-1959
Request for photocopy of
Alabama Death certificate
You may request as many photo copy certificates as you like.
(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__________________________

Please print and Mail this form and a  money order (which I prefer) or a  good check for the total amount.
In your total amount please include a dollar or two to cover the return postage.

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.