Registrar-Recorder/County Clerk
Marriage Records
P.O. Box 53120
Los Angeles, CA 90053-0120
DATE:_______________________________
Re: ( Expedited ) Request for Certified Copies of Confidential Marriage Record
- License No. ____________________
Dear Sir or Madam,
Please find enclosed:
1. An Application for Marriage Record,
2. The signed and completed bottom portion of the Customer Copy of our License and Certificate of Confidential Marriage,
3. A personal check in the amount of $_____.00 payable to Registrar-Recorder/County Clerk, and
4. A postage prepaid and preaddressed Overnight Express Mail envelope.
Please mail ______Certified Copies of our Confidential Marriage License and Certificate to
MY NAME: _____________________________________________________________
ADDRESS: _____________________________________________________________
CITY, STATE, ZIP_____________________________________________________________.
We urgently request that the certified copies be mailed as soon as possible.
This marriage was between:
Groom - _____________________________________________________________
Bride - _____________________________________________________________
MARRIED ON DATE: __________________________________________________
_____ Certified Copies are Requested
Thank you very much for your prompt attention to this matter.
Yours truly,
_____________________________________________________________ PRINTED
_____________________________________________________________SIGNED
AND
_____________________________________________________________PRINTED
_____________________________________________________________SIGNED: