Departments
TO: APPLICANT
FROM: REGISTRAR’S OFFICE
RE: APPLICATION FOR CERTIFICATE OF BIRTH OR DEATH
Please complete the enclosed form in its entirety and attach a copy of one of the eight acceptable forms of identification.
Return form and required ID to:
VILLAGE OF MEDINA REGISTRAR
119 PARK AVENUE
MEDINA, NY 14103
Include a money order for $10.00 to cover the cost of the certificate.
FROM: REGISTRAR’S OFFICE
RE: APPLICATION FOR CERTIFICATE OF BIRTH OR DEATH
Please complete the enclosed form in its entirety and attach a copy of one of the eight acceptable forms of identification.
Return form and required ID to:
VILLAGE OF MEDINA REGISTRAR
119 PARK AVENUE
MEDINA, NY 14103
Include a money order for $10.00 to cover the cost of the certificate.
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E. Margaret Crowley
()
Phone: 585-798-0710 #2 |
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Application for Copy of Birth Record
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Application for copy of Death Certificate
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© 2012
Village Of Medina, Orleans County
