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02.10.

2016

COPY REQUEST FORM


City of Saint Louis
1813-1854 Marriage Contract
ecorder of Deeds
Copy Request Form
Customer Required to Provide
Sharon Quigley Carpenter Bride and Groom Names and Book and Page
Archives Department
City Hall, Room 129, 1200 Market Street Available from Online Index at
Saint Louis, Missouri 63103 www.stlouiscityrecorder.org
314.589.8174 – archives@stlouiscityrecorder.org

INSTRUCTIONS For Office Use Only

READ MARRIAGE RECORDS DETAILS @ Marriage Abstract Book & Page __________, _________
www.stlouiscityrecorder.org Before Using Form
Date Received __________ _____ __________

• Customer Must Provide: Date Replied __________ _____ __________


+ Name of Bride and Name of Groom
+ Book and Page for Marriage Contract Amount Received $__________

• Type or Print All Information Legibly


CUSTOMER INFORMATION
• $12.00 FEE for each Certified Copy of a (customer completes this section)
Marriage Contract
Customer Name:
• $5.00 FEE for each Uncertified Copy of a
Marriage Contract ________________________________________
• NO PERSONAL CHECKS. Payment must be First Name + Middle Name + Last Name
made by Cash or Money Order/Business
Check/Cashier’s Check made out to: Daytime Phone: (________)__________________
Recorder of Deeds
E-mail Address: ___________________________
• MAIL-IN SERVICE—Mail completed Form
with Payment (see above), and Self- Mailing Address:
Addressed-Stamped-Envelope with 2 First
Class Stamps (or add $1.00 to Payment for ____________________________________________
mailing) to above Archives Dept. address Street Number + Street Name + Suite/Apt. Number

• WALK-IN SERVICE-- Bring this Form ____________________________________________


completed with Payment (see above) to City + State + Zip Code
above Archives Dept. address.
ATMS available in City Hall, First Floor:
Room 104 (License Collector)
Room 109 (Collector of Revenue)

MARRIAGE CONTRACT INFORMATION


(customer completes this section)

Enclosing $__________ for _____ certified copy (copies) of a Marriage Contract


Enclosing $__________ for _____ uncertified Copy (copies) of a Marriage Contract
+ $1.00 for mailing if customer does not provide self-addressed-stamped-envelope with two First Class stamps

$_________ Total Enclosed Marriage Contract Book and Page ______________ _____________

Groom Name _________________________________________________________________


First Name Middle Name Last Name

Bride Name ___________________________________________________________________


First Name Middle Name Last Name

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