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VITAL STATISTICS UNIT
DEPARTMENT OF STATE
HEALTH SERVICES
P O BOX 12040
AUSTIN TEXAS 787112040
18889637111This application, supporting document(s), and the statutory filing fee of $15.00 should be
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To fill out P.O. Box 12040, follow these steps:
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Write the recipient's name on the first line.
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Write the P.O. Box number '12040' on the second line.
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