Printout and send to the Town of Dexter at the address below.
TOWN OF DEXTER
23 MAIN STREET
DEXTER, MAINE 04930
TEL: (207) 924-7351 - FAX: (207) 924-7352
1. No Vital Record Information may be given over the phone.
2. Non-refundable fees for vital records:
- $10.00 Certified Copy
- $5.00 each for the same Certified Copy (above) (requested at the same time)
- $10.00 per hour for Genealogy Research (fee includes one Certified Copy)
- $5.00 minimum charge for Genealogy Research
3. The person making the request must either come in person, fill out the form and pay the fee or send a written request with the payment enclosed.
Date of Request__________________
Name on Record____________________________________________
Date of Event____________________
Type of Record _____Birth _____Death _____ Marriage _____Genealogy Research
Father's Name____________________Mother's Maiden Name____________________
Requested By_______________________________________________
- Signature_________________________Address________________________
- Relationship_______________________Phone Number___________________
Certified Copies Requested_______________
Genealogy Research Fee_________________
Total Due_______________ Method of Payment_______ Cash_______ Check #_______
Date Paid_______________ Clerk's Initials_______________
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