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BIRTH Application for Certified Copy of Maryland Birth Record BIRTH TALBOT COUNTY HEALTH Department my signature below, I state that I am the person I represent myself to be herein, and I affirm that
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What is By my signature below, I state that I am the person I represent myself to be herein, and I affirm that the ination submitted on this is complete and accurate and submitted subject to the criminal penalties set forth at Maryland Form?

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