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PLC:

a001zd

Agency:

adams county clerk of courts

For:

orphans' court & marriage

Phone:

717-337-9806

Address:

117 baltimore street, room 103
gettysburg, pennsylvania 17325

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*Name:

Middle:

*Last:

*Contact Phone #:

(### - ### - ####)

*Fee Type:

Add a brief description of the service you are paying for and the case number (if applies). If requesting certified copies of a marriage record, please include both applicants name and the ML number. Date of marriage should also be included.

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*State/Province:

*Zip:

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

*Expiration Date:

*Card Security Number:

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