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2828290511810Voorhees Town Hall 2400 Voorhees Town Center Voorhees, NJ 0804300Voorhees Town Hall 2400 Voorhees Town Center Voorhees, NJ 080437738745445135100120510501350010APPLICATION FOR A BIRTH CERTIFICATE(PLEASE PRINT)00APPLICATION FOR A BIRTH CERTIFICATE(PLEASE PRINT)5092701938655**YOU MUST PROVIDE A COPY OF A VALID PHOTO ID WITH YOUR NAME, CURRENT ADDRESS AND SIGNATURE "OR" TWO OTHER FORMS OF NON-PHOTO ID WITH YOUR NAME AND CURRENT ADDRESS PLUS ID WITH YOUR00**YOU MUST PROVIDE A COPY OF A VALID PHOTO ID WITH YOUR NAME, CURRENT ADDRESS AND SIGNATURE "OR" TWO OTHER FORMS OF NON-PHOTO ID WITH YOUR NAME AND CURRENT ADDRESS PLUS ID WITH YOUR4908552261870SIGNATURE.00SIGNATURE.6826252533015PLEASE BE SURE THE EVENT OCCURRED IN VOORHEES TOWNSHIP BEFORE COMPLETING THIS FORM.00PLEASE BE SURE THE EVENT OCCURRED IN VOORHEES TOWNSHIP BEFORE COMPLETING THIS FORM.77387452511425004965702853055YOUR NAME:00YOUR NAME:4997453151505STREET ADDRESS:00STREET ADDRESS:4965703447415CITY, STATE & ZIP CODE:00CITY, STATE & ZIP CODE:4965703742690PHONE NUMBER:00PHONE NUMBER:4997454038600RELATIONSHIP TO PERSON ON RECORD:00RELATIONSHIP TO PERSON ON RECORD:4997454321810DRIVER'S LICENSE NO. & STATE ISSUED:00DRIVER'S LICENSE NO. & STATE ISSUED:4965704641850ALTERNATE ID:00ALTERNATE ID:4997454937760SIGNATURE:00SIGNATURE:4997455370830DATE OF BIRTH ON RECORD:00DATE OF BIRTH ON RECORD:4997455681345PLACE OF BIRTH:00PLACE OF BIRTH:5060955977255FULL NAME ON RECORD:00FULL NAME ON RECORD:5060956257290MOTHER'S FULL MAIDEN NAME:00MOTHER'S FULL MAIDEN NAME:5060956550025FATHER'S NAME:00FATHER'S NAME:5060956851650NUMBER OF CERTIFICATES REQUESTED:00NUMBER OF CERTIFICATES REQUESTED:4997457147560PURPOSE NEEDED:00PURPOSE NEEDED:5060957446010In accordance with Executive Order #18, certified copies of vital records may only be issued to persons who establish themselves as the subject of the vital record, the subject's parent, legal guardian or legal representative, spouse, child, grandchild or sibling of legal age. Proof of relationship to the subject of the vital record being requested must be provided.00In accordance with Executive Order #18, certified copies of vital records may only be issued to persons who establish themselves as the subject of the vital record, the subject's parent, legal guardian or legal representative, spouse, child, grandchild or sibling of legal age. Proof of relationship to the subject of the vital record being requested must be provided.5060958046720The fee for a birth certificate is $25.00 per copy CASH ONLY for walk-in service.00The fee for a birth certificate is $25.00 per copy CASH ONLY for walk-in service.5060958342630To send for a birth certificate by mail, a check or money order for $25.00 per copy may be made payable to "Voorhees Township". Mail it with a copy of your ID and this application to: Voorhees Township Vital Statistics, 2400 Voorhees Town Center, Voorhees, NJ 08043, ALLOW 30 DAYS IF PAID BY CHECK & 7-10 DAYS FOR A MONEY ORDER.00To send for a birth certificate by mail, a check or money order for $25.00 per copy may be made payable to "Voorhees Township". Mail it with a copy of your ID and this application to: Voorhees Township Vital Statistics, 2400 Voorhees Town Center, Voorhees, NJ 08043, ALLOW 30 DAYS IF PAID BY CHECK & 7-10 DAYS FOR A MONEY ORDER.5092709018905If you have any questions, please call 856-429-4482 Monday through Friday00If you have any questions, please call 856-429-4482 Monday through Friday1304290298386500161544032797750020205703578225001542415387731000292290541694100029781504468495001454150477329500126174550717450023501355516880001633855581279000210947061144150025939756403975001618615669925000310896069919850017068807293610007753985257238500 ................
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