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HEARNAP — Part 34
Page 261
261 / 353
ITA VAN BUSKIRK .
COUNTY RECORDER
Post Orfice Dox 1470
WoOoouanc 0.1611
SANTA BARBARA COUNTY
SANTA BARBARA, CALIFORNIA
APPLICATION TO EXAMINE RECORDS
Required by Section 902 State Administrative Code
PROPER ‘ID MUST BE SHOWN
Permission is” hereby requested to examine birth 4B 48, marriage——"—_
_ year(s) i year(s)
death . records in the Office of the County Recorder.
year (s)
I estimate the time required to examine the records will be approximately
/_ hours,
My reasons for examining the records are » Lind fam ily bp th oites:
a
LISTMAKERS
YOU ARE REQUESTED NOT TO ABSTRACT ANY INFORMATION
FROM CERTIFICATES THAT ARE MARKED IN THE UPPER
-LEFT HAND CORNER "REQUEST OMISSION FROM SOLICITATION
e LISTS." .
I hereby certify, under penalty of perjury, I am beneficially interssted
in the above designated records, and my desire to examine them is not »wased -
on any mglicious intent nor is it to gratify idle curiosity.
:
—_— a
t | Organization ) ~
WV) FOLT ASK wt | CA. -
‘Print Name , city State Zip
RYS ; _ Application Approved
Stréet Address
RITA VAN. BUSKIRK, COUNTY RECORDER |
—_—_
.
By Tac (Gueeee *
Beeb
NOTE: A charge of $2.00 per hour or fraction thereof, payable in. adva..c 2,
must be made under Section 10606 of the Health and Safety Code when a
deputy recorder assists. en
Telephone Number
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