Arizona Vital Records: Difference between revisions

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[[United States Vital Records|Vital Records]] consist of [[United States Birth Records|births]], adoptions, [[United States Marriage Records|marriages]], divorces, and [[United States Death Records|deaths]] recorded on registers, certificates, and documents. [[Locating United States Vital Records|United States Vital Records]] has additional research guidance on researching and using vital records. A copy or an extract of most original records can be purchased from the [http://www.azdhs.gov/vitalrcd/birth_index.htm Arizona Department of Health Services] or the [http://www.azdhs.gov/vitalrcd/county_offices.htm County Clerk's Office] of the county where the event occurred.  
[[United States Vital Records|Vital Records]] consist of [[United States Birth Records|births]], adoptions, [[United States Marriage Records|marriages]], divorces, and [[United States Death Records|deaths]] recorded on registers, certificates, and documents. [[Locating United States Vital Records|United States Vital Records]] has additional research guidance on researching and using vital records. A copy or an extract of most original records can be purchased from the [http://www.azdhs.gov/vitalrcd/birth_index.htm Arizona Department of Health Services] or the [http://www.azdhs.gov/vitalrcd/county_offices.htm County Clerk's Office] of the county where the event occurred.  


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| width="44%" | __TOC__  
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| valign="middle" | <center>'''&nbsp; [[Image:Vital Records.jpg|center|448px]]&nbsp;&nbsp; '''<br></center>
| valign="middle" | <center>'''&nbsp; [[Image:Vital Records.jpg|center|448px]]&nbsp;&nbsp; '''<br></center>
{| border="1" cellspacing="1" cellpadding="1" width="318" align="center"
{| cellspacing="1" cellpadding="1" width="318" align="center" border="1"
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| bgcolor="#ffffcc" height="35" valign="middle" align="center" | '''Marriage Records'''&nbsp;  
| valign="middle" align="center" bgcolor="#ffffcc" height="35" | '''Marriage Records'''&nbsp;  
| bgcolor="#ffffcc" height="35" valign="middle" align="center" | '''Death/Will'''&nbsp;'''Records'''
| valign="middle" align="center" bgcolor="#ffffcc" height="35" | '''Death/Will'''&nbsp;'''Records'''
|-
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| bgcolor="#ffffcc" height="35" valign="middle" align="center" | [http://abish.byui.edu/specialCollections/westernStates/Search.cfm Western States]  
| valign="middle" align="center" bgcolor="#ffffcc" height="35" | [http://abish.byui.edu/specialCollections/westernStates/Search.cfm Western States]  
| bgcolor="#ffffcc" height="35" valign="middle" align="center" | [http://genealogy.az.gov/ 1855 - 1933]&nbsp;&nbsp;
| valign="middle" align="center" bgcolor="#ffffcc" height="35" | [http://genealogy.az.gov/ 1855 - 1933]&nbsp;&nbsp;
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| bgcolor="#ffffcc" height="35" valign="middle" align="center" | &nbsp;&nbsp;  
| valign="middle" align="center" bgcolor="#ffffcc" height="35" | &nbsp;&nbsp;  
| bgcolor="#ffffcc" height="35" valign="middle" align="center" | [http://pilot.familysearch.org/recordsearch/start.html#c=1534450;p=collectionDetails;t=searchable 1870 - 1951]&nbsp;&nbsp;
| valign="middle" align="center" bgcolor="#ffffcc" height="35" | [http://pilot.familysearch.org/recordsearch/start.html#c=1534450;p=collectionDetails;t=searchable 1870 - 1951]&nbsp;&nbsp;
|-
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| bgcolor="#ffffcc" height="35" valign="middle" align="center" | &nbsp;
| valign="middle" align="center" bgcolor="#ffffcc" height="35" | &nbsp;
| bgcolor="#ffffcc" height="35" valign="middle" align="center" |  
| valign="middle" align="center" bgcolor="#ffffcc" height="35" |  
[http://ssdi.rootsweb.ancestry.com/ 1962 - Present]
[http://ssdi.rootsweb.ancestry.com/ 1962 - Present]


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== Birth Records  ==
== Birth Records  ==


[[Arizona|Arizona]] is a "closed record" state which&nbsp;means [[United States Vital Records|vital records]] are not public records. Only immediate family and selected others may obtain certified copies of vital records.<ref>Arizona Department of Health Services, Office of Vital Records. [http://www.azdhs.gov/vitalrcd/birth_index.htm "Vital Records"]. Accessed 28 May 2011. Genealogists may obtain copies of certificates if all of the following criteria are met: fckLRfckLR*The applicant establishes a relationship to the individual whose record they are requesting fckLR**Acceptable types of credible documentation to establish relationship: Birth certificate, Death certificate, Marriage certificate. fckLR**Non-acceptable types of documentation to establish relationship: Pedigree charts, Lineage charts, Family trees. fckLR*The applicant submits a signed application. fckLR*The applicant provides valid government issued identification or notarized signature on the application. fckLR*The application submits the appropriate fee(s).fckLRfckLR=== 1887—1909 ===fckLRfckLRA limited number of birth records from 1887 to 1909&amp;amp;amp;amp;amp;amp;nbsp;may be found in the [http://www.azdhs.gov/vitalrcd/county_offices.htm county] where the event occurred. See Substitute Records below. fckLRfckLR=== 1909—1988 ===fckLRfckLRStatewide registration of vital records in [[Arizona|Arizona]] began July, 1909 and was generally complied with by 1926. Because county clerks sent copies to the Arizona Department of Health Services, vital records are available at both the [http://www.azdhs.gov/vitalrcd/county_offices.htm county] and [http://www.azdhs.gov/vitalrcd/birth_index.htm State Department of Health] offices. fckLRfckLR=== 1989—Present ===fckLRYou may obtain a certified copy of a birth certificate for a birth that occurred in Arizona after 1989, at the [http://www.azdhs.gov/vitalrcd/birth_index.htm County Health Department] in the [http://www.azdhs.gov/vitalrcd/county_offices.htm county] where the birth occurred. fckLRfckLR{| width="550" cellspacing="1" cellpadding="1" border="1" align="center"fckLR|+ '''Information&amp;amp;amp;amp;amp;amp;nbsp;in Arizona Birth Records''' fckLR|-fckLR| width="52%" valign="middle" height="50" bgcolor="#99ccff" align="center" | '''Types of Information''' fckLR| width="16%" valign="middle" bgcolor="#99ccff" align="center" | '''early - 1909'''&amp;amp;amp;amp;amp;amp;nbsp; fckLR| width="16%" valign="middle" bgcolor="#99ccff" align="center" | '''1909&amp;amp;amp;amp;amp;amp;nbsp;- present'''fckLR|-fckLR| width="52%" valign="middle" height="25" bgcolor="#99ccff" align="center" | '''Name of Child''' fckLR| width="16%" valign="middle" height="25" align="center" | fckLR| width="16%" valign="middle" height="25" align="center" | &amp;amp;amp;amp;amp;amp;nbsp;fckLR|-fckLR| width="52%" valign="middle" height="25" bgcolor="#99ccff" align="center" | '''Sex''' fckLR| width="16%" valign="middle" height="25" align="center" | &amp;amp;amp;amp;amp;amp;nbsp; fckLR| width="16%" valign="middle" height="25" align="center" | &amp;amp;amp;amp;amp;amp;nbsp;fckLR|-fckLR| width="52%" valign="middle" height="25" bgcolor="#99ccff" align="center" | '''Race''' fckLR| width="16%" valign="middle" height="25" align="center" | &amp;amp;amp;amp;amp;amp;nbsp; fckLR| width="16%" valign="middle" height="25" align="center" | &amp;amp;amp;amp;amp;amp;nbsp;fckLR|-fckLR| width="52%" valign="middle" height="25" bgcolor="#99ccff" align="center" | '''Parents' Names''' fckLR| width="16%" valign="middle" height="25" align="center" | &amp;amp;amp;amp;amp;amp;nbsp; fckLR| width="16%" valign="middle" height="25" align="center" | &amp;amp;amp;amp;amp;amp;nbsp;fckLR|-fckLR| width="52%" valign="middle" height="25" bgcolor="#99ccff" align="center" | '''Midwife/Doctor''' fckLR| width="16%" valign="middle" height="25" align="center" | &amp;amp;amp;amp;amp;amp;nbsp; fckLR| width="16%" valign="middle" height="25" align="center" | &amp;amp;amp;amp;amp;amp;nbsp;fckLR|-fckLR| width="52%" valign="middle" height="25" bgcolor="#99ccff" align="center" | '''Date &amp;amp;amp;amp;amp;amp;amp; Place of Birth''' fckLR| width="16%" valign="middle" height="25" align="center" | &amp;amp;amp;amp;amp;amp;nbsp; fckLR| width="16%" valign="middle" height="25" align="center" | &amp;amp;amp;amp;amp;amp;nbsp;fckLR|-fckLR| width="52%" valign="middle" height="25" bgcolor="#99ccff" align="center" | '''Residence''' fckLR| width="16%" valign="middle" height="25" align="center" | &amp;amp;amp;amp;amp;lt;br&amp;amp;amp;amp;amp;gt; fckLR| width="16%" valign="middle" height="25" align="center" | &amp;amp;amp;amp;amp;amp;nbsp;fckLR|}fckLRfckLR== Adoption ==fckLRfckLRArizona's adoption records are confidential. Individuals who were adopted and are looking for their birth parents, or who are the birth parents of an adoptee and are looking for their child need to engage the services of a Confidential Intermediary. Please refer to the Arizona Supreme Court's [http://www.supreme.state.az.us/cip/ Arizona Confidential Intermediary Program] web site for more information. &amp;amp;amp;amp;amp;lt;ref&amp;amp;amp;amp;amp;gt;"Access to Adoption Records" Adoption.com. Adoption Media, LLC, 1995 - 2009. Accessed 1 Sept. 2009. &amp;amp;amp;amp;amp;amp;amp;lt;http://http://laws.adoption.com/statutes/arizona-laws.html&amp;amp;amp;amp;amp;amp;amp;gt;. </ref>
[[Arizona|Arizona]] is a "closed record" state which&nbsp;means [[United States Vital Records|vital records]] are not public records. Only immediate family and selected others may obtain certified copies of vital records.<ref>Arizona Department of Health Services, Office of Vital Records. [http://www.azdhs.gov/vitalrcd/birth_index.htm "Vital Records"]. Accessed 28 May 2011. Genealogists may obtain copies of certificates if all of the following criteria are met: fckLRfckLR*The applicant establishes a relationship to the individual whose record they are requesting fckLR**Acceptable types of credible documentation to establish relationship: Birth certificate, Death certificate, Marriage certificate. fckLR**Non-acceptable types of documentation to establish relationship: Pedigree charts, Lineage charts, Family trees. fckLR*The applicant submits a signed application. fckLR*The applicant provides valid government issued identification or notarized signature on the application. fckLR*The application submits the appropriate fee(s).fckLRfckLR=== 1887—1909 ===fckLRfckLRA limited number of birth records from 1887 to 1909&amp;amp;amp;amp;amp;amp;amp;nbsp;may be found in the [http://www.azdhs.gov/vitalrcd/county_offices.htm county] where the event occurred. See Substitute Records below. fckLRfckLR=== 1909—1988 ===fckLRfckLRStatewide registration of vital records in [[Arizona|Arizona]] began July, 1909 and was generally complied with by 1926. Because county clerks sent copies to the Arizona Department of Health Services, vital records are available at both the [http://www.azdhs.gov/vitalrcd/county_offices.htm county] and [http://www.azdhs.gov/vitalrcd/birth_index.htm State Department of Health] offices. fckLRfckLR=== 1989—Present ===fckLRYou may obtain a certified copy of a birth certificate for a birth that occurred in Arizona after 1989, at the [http://www.azdhs.gov/vitalrcd/birth_index.htm County Health Department] in the [http://www.azdhs.gov/vitalrcd/county_offices.htm county] where the birth occurred. fckLRfckLR{| width="550" cellspacing="1" cellpadding="1" border="1" align="center"fckLR|+ '''Information&amp;amp;amp;amp;amp;amp;amp;nbsp;in Arizona Birth Records''' fckLR|-fckLR| width="52%" valign="middle" height="50" bgcolor="#99ccff" align="center" | '''Types of Information''' fckLR| width="16%" valign="middle" bgcolor="#99ccff" align="center" | '''early - 1909'''&amp;amp;amp;amp;amp;amp;amp;nbsp; fckLR| width="16%" valign="middle" bgcolor="#99ccff" align="center" | '''1909&amp;amp;amp;amp;amp;amp;amp;nbsp;- present'''fckLR|-fckLR| width="52%" valign="middle" height="25" bgcolor="#99ccff" align="center" | '''Name of Child''' fckLR| width="16%" valign="middle" height="25" align="center" | fckLR| width="16%" valign="middle" height="25" align="center" | &amp;amp;amp;amp;amp;amp;amp;nbsp;fckLR|-fckLR| width="52%" valign="middle" height="25" bgcolor="#99ccff" align="center" | '''Sex''' fckLR| width="16%" valign="middle" height="25" align="center" | &amp;amp;amp;amp;amp;amp;amp;nbsp; fckLR| width="16%" valign="middle" height="25" align="center" | &amp;amp;amp;amp;amp;amp;amp;nbsp;fckLR|-fckLR| width="52%" valign="middle" height="25" bgcolor="#99ccff" align="center" | '''Race''' fckLR| width="16%" valign="middle" height="25" align="center" | &amp;amp;amp;amp;amp;amp;amp;nbsp; fckLR| width="16%" valign="middle" height="25" align="center" | &amp;amp;amp;amp;amp;amp;amp;nbsp;fckLR|-fckLR| width="52%" valign="middle" height="25" bgcolor="#99ccff" align="center" | '''Parents' Names''' fckLR| width="16%" valign="middle" height="25" align="center" | &amp;amp;amp;amp;amp;amp;amp;nbsp; fckLR| width="16%" valign="middle" height="25" align="center" | &amp;amp;amp;amp;amp;amp;amp;nbsp;fckLR|-fckLR| width="52%" valign="middle" height="25" bgcolor="#99ccff" align="center" | '''Midwife/Doctor''' fckLR| width="16%" valign="middle" height="25" align="center" | &amp;amp;amp;amp;amp;amp;amp;nbsp; fckLR| width="16%" valign="middle" height="25" align="center" | &amp;amp;amp;amp;amp;amp;amp;nbsp;fckLR|-fckLR| width="52%" valign="middle" height="25" bgcolor="#99ccff" align="center" | '''Date &amp;amp;amp;amp;amp;amp;amp;amp; Place of Birth''' fckLR| width="16%" valign="middle" height="25" align="center" | &amp;amp;amp;amp;amp;amp;amp;nbsp; fckLR| width="16%" valign="middle" height="25" align="center" | &amp;amp;amp;amp;amp;amp;amp;nbsp;fckLR|-fckLR| width="52%" valign="middle" height="25" bgcolor="#99ccff" align="center" | '''Residence''' fckLR| width="16%" valign="middle" height="25" align="center" | &amp;amp;amp;amp;amp;amp;lt;br&amp;amp;amp;amp;amp;amp;gt; fckLR| width="16%" valign="middle" height="25" align="center" | &amp;amp;amp;amp;amp;amp;amp;nbsp;fckLR|}fckLRfckLR== Adoption ==fckLRfckLRArizona's adoption records are confidential. Individuals who were adopted and are looking for their birth parents, or who are the birth parents of an adoptee and are looking for their child need to engage the services of a Confidential Intermediary. Please refer to the Arizona Supreme Court's [http://www.supreme.state.az.us/cip/ Arizona Confidential Intermediary Program] web site for more information. &amp;amp;amp;amp;amp;amp;lt;ref&amp;amp;amp;amp;amp;amp;gt;"Access to Adoption Records" Adoption.com. Adoption Media, LLC, 1995 - 2009. Accessed 1 Sept. 2009. &amp;amp;amp;amp;amp;amp;amp;amp;lt;http://http://laws.adoption.com/statutes/arizona-laws.html&amp;amp;amp;amp;amp;amp;amp;amp;gt;. </ref>


The following parties may use the services of a confidential intermediary to obtain adoption information:  
The following parties may use the services of a confidential intermediary to obtain adoption information:  
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Yuma, Yuma County, Arizona&amp; served many eloping couples from Arizona, southern California and New Mexico. In Yuma there was no waiting period between the time of issuing a license and the performance of the marriage.  
Yuma, Yuma County, Arizona&amp; served many eloping couples from Arizona, southern California and New Mexico. In Yuma there was no waiting period between the time of issuing a license and the performance of the marriage.  


{| border="1" cellspacing="1" cellpadding="1" width="550" align="center"
{| cellspacing="1" cellpadding="1" width="550" align="center" border="1"
|+ '''Information in Arizona Marriage Records'''  
|+ '''Information in Arizona Marriage Records'''  
|-
|-
| bgcolor="#99ccff" height="50" valign="middle" width="52%" align="center" | '''Types of Information'''  
| valign="middle" align="center" width="52%" bgcolor="#99ccff" height="50" | '''Types of Information'''  
| bgcolor="#99ccff" valign="middle" width="16%" align="center" | '''1816 - 1912'''  
| valign="middle" align="center" width="16%" bgcolor="#99ccff" | '''1816 - 1912'''  
| bgcolor="#99ccff" valign="middle" width="16%" align="center" | '''1912 - present'''
| valign="middle" align="center" width="16%" bgcolor="#99ccff" | '''1912 - present'''
|-
|-
| bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Name of Bride/Groom'''  
| valign="middle" align="center" width="52%" bgcolor="#99ccff" height="25" | '''Name of Bride/Groom'''  
| valign="middle" width="16%" align="center" |  
| valign="middle" align="center" width="16%" |  
| valign="middle" width="16%" align="center" | &nbsp;
| valign="middle" align="center" width="16%" | &nbsp;
|-
|-
| bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Date of Marriage'''  
| valign="middle" align="center" width="52%" bgcolor="#99ccff" height="25" | '''Date of Marriage'''  
| valign="middle" width="16%" align="center" |  
| valign="middle" align="center" width="16%" |  
| valign="middle" width="16%" align="center" | &nbsp;
| valign="middle" align="center" width="16%" | &nbsp;
|-
|-
| bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Location of Marriage'''  
| valign="middle" align="center" width="52%" bgcolor="#99ccff" height="25" | '''Location of Marriage'''  
| valign="middle" width="16%" align="center" |  
| valign="middle" align="center" width="16%" |  
| valign="middle" width="16%" align="center" | &nbsp;
| valign="middle" align="center" width="16%" | &nbsp;
|-
|-
| bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Presiding Official'''  
| valign="middle" align="center" width="52%" bgcolor="#99ccff" height="25" | '''Presiding Official'''  
| valign="middle" width="16%" align="center" | &nbsp;  
| valign="middle" align="center" width="16%" | &nbsp;  
| valign="middle" width="16%" align="center" | &nbsp;
| valign="middle" align="center" width="16%" | &nbsp;
|-
|-
| bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Date of Birth'''  
| valign="middle" align="center" width="52%" bgcolor="#99ccff" height="25" | '''Date of Birth'''  
| valign="middle" width="16%" align="center" | <br>
| valign="middle" align="center" width="16%" | <br>
| valign="middle" width="16%" align="center" | &nbsp;
| valign="middle" align="center" width="16%" | &nbsp;
|-
|-
| bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Place of Birth'''  
| valign="middle" align="center" width="52%" bgcolor="#99ccff" height="25" | '''Place of Birth'''  
| valign="middle" width="16%" align="center" | <br>
| valign="middle" align="center" width="16%" | <br>
| valign="middle" width="16%" align="center" | '''&nbsp;'''
| valign="middle" align="center" width="16%" | '''&nbsp;'''
|-
|-
| bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Residence at Time of Marriage'''  
| valign="middle" align="center" width="52%" bgcolor="#99ccff" height="25" | '''Residence at Time of Marriage'''  
| valign="middle" width="16%" align="center" | <br>
| valign="middle" align="center" width="16%" | <br>
| valign="middle" width="16%" align="center" | '''&nbsp;'''
| valign="middle" align="center" width="16%" | '''&nbsp;'''
|}
|}


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=== 1909—Present  ===
=== 1909—Present  ===


'''Arizona Statewide Death Certificates''': A free internet index and images to the Arizona Statewide Death Certificates can be viewed on the FamilySearch.org website. For a description of the collection see [[Alabama Statewide Death Certificates (FamilySearch Historical Records)|Arizona Statewide Death Certificates]]  
'''Arizona Statewide Death Certificates''': A free internet index and images to the Arizona Statewide Death Certificates can be viewed on the FamilySearch.org website. For a description of the collection see [https://www.familysearch.org/learn/wiki/en/Arizona_Statewide_Death_Certificates_(FamilySearch_Historical_Records) Arizona Statewide Death Certificates]


Arizona Deaths 1870-1951 are online at [https://www.familysearch.org/search/collection/show#uri=http://hr-search-api:8080/searchapi/search/collection/1534450 FamilySearch.org]  
Arizona Deaths 1870-1951 are online at [https://www.familysearch.org/search/collection/show#uri=http://hr-search-api:8080/searchapi/search/collection/1534450 FamilySearch.org]  
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For current fees and latest information for obtaining copies of the state's records visit:[http://www.vitalrec.com/ VitalRecords.com] (commercial site).  
For current fees and latest information for obtaining copies of the state's records visit:[http://www.vitalrec.com/ VitalRecords.com] (commercial site).  


{| border="1" cellspacing="1" cellpadding="1" width="481" align="center"
{| cellspacing="1" cellpadding="1" width="481" align="center" border="1"
|+ '''Information in Arizona&nbsp;Death Records'''  
|+ '''Information in Arizona&nbsp;Death Records'''  
|-
|-
| bgcolor="#99ccff" height="40" valign="middle" width="52%" align="center" | '''Types of Information<br>'''
| valign="middle" align="center" width="52%" bgcolor="#99ccff" height="40" | '''Types of Information<br>'''
| bgcolor="#99ccff" valign="middle" width="16%" align="center" | '''before&nbsp;- 1913<br>'''
| valign="middle" align="center" width="16%" bgcolor="#99ccff" | '''before&nbsp;- 1913<br>'''
| bgcolor="#99ccff" valign="middle" width="16%" align="center" | '''1913 - present<br>'''
| valign="middle" align="center" width="16%" bgcolor="#99ccff" | '''1913 - present<br>'''
|-
|-
| bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Name of Deceased<br>'''
| valign="middle" align="center" width="52%" bgcolor="#99ccff" height="25" | '''Name of Deceased<br>'''
| valign="middle" width="16%" align="center" | <br>
| valign="middle" align="center" width="16%" | <br>
| valign="middle" width="16%" align="center" | '''<br>'''&nbsp;
| valign="middle" align="center" width="16%" | '''<br>'''&nbsp;
|-
|-
| bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Date of Death'''  
| valign="middle" align="center" width="52%" bgcolor="#99ccff" height="25" | '''Date of Death'''  
| valign="middle" width="16%" align="center" | '''<br>'''
| valign="middle" align="center" width="16%" | '''<br>'''
| valign="middle" width="16%" align="center" | '''<br>'''&nbsp;
| valign="middle" align="center" width="16%" | '''<br>'''&nbsp;
|-
|-
| bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Place of Death'''  
| valign="middle" align="center" width="52%" bgcolor="#99ccff" height="25" | '''Place of Death'''  
| valign="middle" width="16%" align="center" | '''<br>'''&nbsp;  
| valign="middle" align="center" width="16%" | '''<br>'''&nbsp;  
| valign="middle" width="16%" align="center" | '''<br>'''&nbsp;
| valign="middle" align="center" width="16%" | '''<br>'''&nbsp;
|-
|-
| bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Date of Birth/Age'''  
| valign="middle" align="center" width="52%" bgcolor="#99ccff" height="25" | '''Date of Birth/Age'''  
| valign="middle" width="16%" align="center" | '''<br>'''&nbsp;  
| valign="middle" align="center" width="16%" | '''<br>'''&nbsp;  
| valign="middle" width="16%" align="center" | '''<br>'''&nbsp;
| valign="middle" align="center" width="16%" | '''<br>'''&nbsp;
|-
|-
| bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Place of Birth'''  
| valign="middle" align="center" width="52%" bgcolor="#99ccff" height="25" | '''Place of Birth'''  
| valign="middle" width="16%" align="center" | '''<br>'''
| valign="middle" align="center" width="16%" | '''<br>'''
| valign="middle" width="16%" align="center" | '''<br>'''&nbsp;
| valign="middle" align="center" width="16%" | '''<br>'''&nbsp;
|-
|-
| bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Place of Burial'''  
| valign="middle" align="center" width="52%" bgcolor="#99ccff" height="25" | '''Place of Burial'''  
| valign="middle" width="16%" align="center" | '''<br>'''
| valign="middle" align="center" width="16%" | '''<br>'''
| valign="middle" width="16%" align="center" | '''<br>'''&nbsp;
| valign="middle" align="center" width="16%" | '''<br>'''&nbsp;
|-
|-
| bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Parents' Names/Maiden'''  
| valign="middle" align="center" width="52%" bgcolor="#99ccff" height="25" | '''Parents' Names/Maiden'''  
| valign="middle" width="16%" align="center" | '''<br>'''
| valign="middle" align="center" width="16%" | '''<br>'''
| valign="middle" width="16%" align="center" | &nbsp;
| valign="middle" align="center" width="16%" | &nbsp;
|-
|-
| bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" | '''Occupation of Deceased'''  
| valign="middle" align="center" width="52%" bgcolor="#99ccff" height="25" | '''Occupation of Deceased'''  
| valign="middle" width="16%" align="center" | '''<br>'''
| valign="middle" align="center" width="16%" | '''<br>'''
| valign="middle" width="16%" align="center" | '''<br>'''&nbsp;
| valign="middle" align="center" width="16%" | '''<br>'''&nbsp;
|-
|-
| bgcolor="#99ccff" height="25" valign="middle" width="52%" align="center" |  
| valign="middle" align="center" width="52%" bgcolor="#99ccff" height="25" |  
'''Marital''' '''Status'''
'''Marital''' '''Status'''


| valign="middle" width="16%" align="center" | '''<br>'''
| valign="middle" align="center" width="16%" | '''<br>'''
| valign="middle" width="16%" align="center" | '''<br>'''
| valign="middle" align="center" width="16%" | '''<br>'''
|}
|}


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