|
NOTE:
THESE RECORDS MUST BE DATED OVER 30 YEARS AGO TO QUALIFY AS GENEALOGY
REQUEST
FOR GENEALOGY INFORMATION
I, hereby request the Clerk & Recorder
of Dawson County Montana to issue me copy (s) of _________ birth
records and or ___________ death records for the following person
(s):
_______________________ ____________
________________ ____________
Name
Birth/Death
Date
Place
_______________________
____________ ________________ _______________
Name
Birth/Death
Date
Place
_______________________
____________ ________________ ____________ Name
Birth/Death
Date
Place
_______________________
____________ ________________ ____________ Name
Birth/Death
Date
Place
_______________________
____________ ________________ ____________
Name
Birth/Death
Date
Place
_______________________
____________ ________________ ____________
Name
Birth/Death
Date
Place
TO BE COMPLETED BY GENEALOGY
RESEARCHER
Name: ________________________________________________________
Relationship: ___________________________________________________
Mailing address: _________________________________________________
City: _____________________ State: _________________
Zip: __________
|
