Certificate Of Absolute Divorce Or Annulment
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N.C, DEPARTMENT OF HEALTH AND HUMAN SERVICES
NC VITAL RECORDS
STATE OF NORTH CAROLINA
CERTIFICATE OF ABSOLUTE DIVORCE OR ANNULMENT
File Number:
County:
I hereby certify that the above information as abstracted from court documents is true and correct. The fl divorce E annulment was rendered
in the above entitled matter on the -
dav of
Signature )
Date
fl Clerk of Superior Court fl Assistant CSC tr Deputy CSC
DHHS 2089 (Revised 3/03)
Vital Records (Beview 3/06)
E Husband - Name
i.
E wife
RESIDENCE-STATE
2a.
FIRST
MIDDLE
LAST
COUNTY
2 b .
E Husband - Name
FrRsr
3.
D wite
MIDDLE
LAST
RESIDENCE.STATE
4a.
COUNTY
4b.
DATE OF THIS MARRIAGE
PLACE OF THIS MARRIAGE
6 .
NUMBER MINOR CHILDREN
DATE OF SEPARATION
8 .
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