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PRE-2003 DEATH CERTIFICATES CERTIFIED COPY of the State Registrar and will be printed on security paper. DEPARTMENT OF HEALTH SERVICES Division of Public Health F-05280 LVRO Rev. 12/11 STATE OF WISCONSIN Chapter 69. X 3. 00 Number of Additional Copies For deaths that occurred before 2003 the applicant will automatically receive extended fact of death unless specified otherwise. TOTAL Make check or money order payable to Iron Co Reg Deeds 300 Taconite St Please check with local county or...
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Penalties may be imposed on any person who fails to comply with certain regulations or requirements.
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