/Tx BMC ($0.00) Tj EMC 209 0 obj <>stream If not one of the above, you must complete this application and have a notarized Affidavit to Release A Birth Certificate (DH Form 1958, 08/2010) submitted with your application for the birth record along with a copy of the registrant's valid photo identification as well as the applicant's valid photo identification. endstream endobj 1120 0 obj <>/Subtype/Form/Type/XObject>>stream 1077 0 obj <> endobj endstream endobj 1114 0 obj <>/Subtype/Form/Type/XObject>>stream TYPE OR PRINT . APPLICATION FOR FLORIDA BIRTH RECORD Requirement for ordering: If applicant is self, parent, guardian, or legal representative, then the applicant must complete this application and providvalide a copy of a photo identification. EMC /Tx BMC County of birth * State File Number (If Known) Birth record information. 1.1 First Name at birth. 1st Thurs of the Month 8:00 AM -3:00 PM . endstream endobj 1093 0 obj <>/Subtype/Form/Type/XObject>>stream 18.684 3.6046 Td EMC endstream endobj 26 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 1112 0 obj <>/Subtype/Form/Type/XObject>>stream Requirement for ordering: If applicant is self, parent, guardian, or legal representative, then the applicant must complete this application and provide photo identification. h��[o�:��+�b�����E'vZ�I�\�ٳ=ip��J"����m���R���r�Ǯz�"�EQ3C~�7䐦��P˜DS� I4��P�Qg0� Tc /Tx BMC 0 g VSA 430B 2019/07/11 OTHER SERVICES - Genealogy Certificates and/or Commemorative Certificates - B.C. /Tx BMC �L�@E �@��@�#CP�؁�"T������@���������UhY���q�/@�����{+1@r;��^ 4���1�m��^5K}V�r牄��љ��#C�=E�-.skLb�d� *�j�hd0 �d( /Tx BMC SECTION A: REGISTRANT INFORMATION FIRST MIDDLE LAST P.O. 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REVIEW YOUR ORDER . /Tx BMC W /Tx BMC EMC EMC Download (28 KB) Locations. endstream endobj 56 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream endstream endobj 1097 0 obj <>/Subtype/Form/Type/XObject>>stream 0 g endstream endobj 23 0 obj <>/Subtype/Form/Type/XObject>>stream /Tx BMC endstream endobj 1091 0 obj <>/Subtype/Form/Type/XObject>>stream 0 g endstream endobj 47 0 obj <>/Subtype/Form/Type/XObject>>stream /Tx BMC Q endstream endobj 31 0 obj <>/Subtype/Form/Type/XObject>>stream h�b```e``1``c`pLe�g@ ~����R;� HEALTH . 0 g h��[tG.�+3�۔�6���q!�b�c5��Hr'N]Y:�jd�$q��������������β�3�����G������vvW{�ND�D�%���4%b�D�L��dS#%�jRb�D��^!T��J(ubh�*"��j���J��"ܛ"��L ��]#�J�t�@�LM�(� }�D�E�׈��p�E��=H'h�R �E�*ЁB��DJT���DᡠMΒ�M�4��:t���DG t�ˀ^�*N ��� Has the person on … 19.793 3.5831 Td EMC EMC /Tx BMC EMC EMC gu … endstream endobj 1109 0 obj <>/Subtype/Form/Type/XObject>>stream %%EOF Vital . /Tx BMC EMC If not one of the above, you must complete this application and have a notarized Affidavit to Release A Birth Certificate (DH Form 1958, 08/2010) submitted with your application for the birth record along with a copy of the registrant's valid photo identification as well as the applicant's valid photo identification. EMC APPLICATION FOR FLORIDA BIRTH RECORD . /Tx BMC endstream endobj 1095 0 obj <>/Subtype/Form/Type/XObject>>stream EMC /Helv 7.912 Tf EMC D8��Dl��@�D�ļ;L�gA�30�#���;����9�! /Helv 9.5396 Tf 0 g If not one of the above, you must complete this application and have a notarized Affidavit to Release A Birth Certificate (DH Form 1958, 08/2010) submitted with your application for the birth record along with a copy of the registrant's valid photo identification as well as the applicant's valid photo identification. APPLICATION FOR FLORIDA BIRTH RECORD . endstream endobj 1110 0 obj <>/Subtype/Form/Type/XObject>>stream q endstream endobj 29 0 obj <>/Subtype/Form/Type/XObject>>stream APPLICATION FOR FLORIDA BIRTH RECORD For Miami Dade Coun VITAL RECORDS Use Onl aso NW 14th Street Miami, FL 33125 Tel*305-S75£030 ALK4N & ORDERS 8:00 AM to 4:00 PM HOURS: 18680 NW 67th Avenue Hialeah, Fl- 33015 WALK-IN Ot&Y 8:00 AM to 4:30 PM 18256 Homestead Avenue Miami, FL 33157 Tel." 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