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2. St. Joseph County, Indiana
   Serving St. Joseph County and City of South Bend, Indiana
4. Other Genealogy Document Request Form
6. St. Joseph County Clerks Office (574) 235-9635
   Certified Copies

   Contact the St. Joseph County Clerks Office for All CERTIFIED copies.
10. Date of Request:*
12. Document Type:
14. Name(s) or Business Name:
16. Additional Information:
    Any information that can help the staff research this request.
18. Cause Number:
19. Event Date:
23. Requester's Name: *
24. Requester's Email: *
25. Requester's Phone: *
29. Printing Fees for non-certified copies: Billing statement will be sent with request.
    5¢ per page
31. Disclaimer:
    The Archives Genealogy Collection documents may have records confidentiality restrictions according to Indiana Code, IC 5-14-3-2(9).
33. Contact Information:
    1140 S. Lafayette Blvd. South Bend, IN. 46601 Phone: (574) 235-9091 Fax: (574) 235-7856
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35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit Submit and Print

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