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PLC:

a0070t

Agency:

town of oxford

For:

clerk fees

Phone:

607-843-6222

Address:

20 lafayette park
oxford, new york 13830

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*Name of Requesting Person:

Middle:

*Last:

Please contact the Clerk's Office to verify they have all documents pertaining to Birth, Death or Marriage Certificates.

*Payment Options:

Notes:

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Payment Amount :

Subtotal:

$0.00

Total:

$0.00

Billing Information

*First Name:

Middle Initial:

*Last Name:

*Billing Address:

*City:

*State/Province:

*Zip:

*Country:

*Phone Number:

*Credit/Debit Card:

(enter the full card number without any dashes or spaces)

*Expiration Date:

*Card Security Number:

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