Original "PERMISSION TO MARRY" and/or "Doctor's Certification" RECORDS
To be distributed by The Rains County Genealogical Society
Date: __________________________________________
Name of Person: ______________________________________________________
Date Recorded: _____________________________________________________
Document Number: ____#________________________________
Applicant's relationship to person: ______________________________________
Mail copy of original record to:
*Your name and address will be available to future researchers/applicants
____________________________________________________________________
Name
____________________________________________________________________
Street Address or Post Office Box
____________________________________________________________________
City State Zip Code
Society use:
Date Mailed: _________________________
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