Form 82-153a - Application For Certificate Of Marriage Record - City Of Philadelphia
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1APPLICATION
DATE
A P P L I C A T I O N
F O R
CITY OF PHILADELPHIA
C E R T I F I C A T E
O F
M A R R I A G E
R E C O R D
DEPARTMENT
OF
RECORDS
CITY
ARCHIVES
July 1, 1860
TO
Suite 942 • 401 North Broad • Philadelphia, PA 19108
D e c e m b e r
3 1 ,
1 8 8 5
NUMBER
For marriages during period July 1, 1860 to December 31, 1885. If married after December 31, 1885 —
OF COPIES
Apply to Orphans' Court Division • Room 415 City Hall
.
FOR EACH APPLICATION AND SEARCH, THE FEE IS $9.00 AND MUST ACCOMPANY THIS FORM
In the event there is no record of marriage, a “No Record Statement” will be issued. The fee of $9.00 for each application
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
WILL be charged for the search and statement. Additional certificates for the same record will be charged $9.00 for each.
@ $9.00 Each
MAKE CHECKS OR MONEY ORDERS PAYABLE TO : “THE CITY OF PHILADELPHIA”
DO NOT SEND CASH OR STAMPS
ALLOW 6 TO 8 WEEKS FOR REQUEST TO BE PROCESSED
NOTE: A dishonored check will require an additional penalty fee of $20.00 (Ordinance of City Council).
$ ______________
TOTAL FEE
IT
IS MOST IMPORTANT THAT DATE OF MARRIAGE BE COMPLETELY FILLED IN.
FULL NAME OF MALE
(FIRST)
(MIDDLE)
(LAST)
FULL NAME OF FEMALE
(FIRST)
(MIDDLE)
(LAST)
DATE OF MARRIAGE
TYPE OF CEREMONY
Ye a r
Month
Day
NAME OF APPLICANT
ADDRESS OF APPLICANT
DO
NOT
WRITE
IN
SPACE
BELOW — OFFICE
USE
ONLY
DATE RECEIVED
DATE ANSWERED OR COPY SENT
SEARCH MADE BY
RECEIPT NUMBER
82-153A
APPLICATION
DATE
A P P L I C A T I O N
F O R
CITY OF PHILADELPHIA
C E R T I F I C A T E
O F
M A R R I A G E
R E C O R D
DEPARTMENT
OF
RECORDS
CITY
ARCHIVES
July 1, 1860
TO
Suite 942 • 401 North Broad • Philadelphia, PA 19108
D e c e m b e r
3 1 ,
1 8 8 5
NUMBER
For marriages during period July 1, 1860 to December 31, 1885. If married after December 31, 1885 —
OF COPIES
Apply to Orphans' Court Division • Room 415 City Hall
.
FOR EACH APPLICATION AND SEARCH, THE FEE IS $9.00 AND MUST ACCOMPANY THIS FORM
In the event there is no record of marriage, a “No Record Statement” will be issued. The fee of $9.00 for each application
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
WILL be charged for the search and statement. Additional certificates for the same record will be charged $9.00 for each.
@ $9.00 Each
MAKE CHECKS OR MONEY ORDERS PAYABLE TO : “THE CITY OF PHILADELPHIA”
DO NOT SEND CASH OR STAMPS
ALLOW 6 TO 8 WEEKS FOR REQUEST TO BE PROCESSED
NOTE: A dishonored check will require an additional penalty fee of $20.00 (Ordinance of City Council).
$ ______________
TOTAL FEE
IT
IS MOST IMPORTANT THAT DATE OF MARRIAGE BE COMPLETELY FILLED IN.
FULL NAME OF MALE
(FIRST)
(MIDDLE)
(LAST)
FULL NAME OF FEMALE
(FIRST)
(MIDDLE)
(LAST)
DATE OF MARRIAGE
TYPE OF CEREMONY
Ye a r
Month
Day
NAME OF APPLICANT
ADDRESS OF APPLICANT
DO
NOT
WRITE
IN
SPACE
BELOW — OFFICE
USE
ONLY
DATE RECEIVED
DATE ANSWERED OR COPY SENT
SEARCH MADE BY
RECEIPT NUMBER
82-153A
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