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INTENTION OF MARRIAGE INSTRUCTIONS: Please type or clearly print with black ink. Complete every item carefully, sign the certification statement, and return an application to the municipality in which
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Maine Officiant 22d 21d 22e 21e 22a 21a VS2A 22b 21b 2010 22c 21c foregoing municipality Yr certification CERTIFY applicant Notary resides BIRTHPLACE Specify Surname expires optional requirement ANNULMENT Municipal SPOUSE

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