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JORDAN Z. MARKSASSESSOR/RECORDER/COUNTY CLERK COUNTY OF SAN DIEGOAPPLICATION FOR A KEEPSAKE SOUVENIR ($5.20 + cost of each keepsake in a single transaction) BIRTH Full Name Given at Birth: ___ Date
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Obtain a copy of the keepsake certificate application form v801
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Who needs keepsake certificate application v801?

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Anyone who wishes to request a keepsake certificate for personal or commemorative purposes
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Keepsake certificate application v801 is a form used to request a special certificate for keepsake purposes.
Anyone who wishes to obtain a keepsake certificate is required to file keepsake certificate application v801.
Keepsake certificate application v801 should be filled out by providing the required personal information and details of the requested certificate.
The purpose of keepsake certificate application v801 is to request a special certificate for keepsake purposes.
On keepsake certificate application v801, personal information and details of the requested certificate must be reported.
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