Birth/Death Request Form

In order to request a Birth/Death Certificate, you must be an immediate family member.  Please include the name of the person you are requesting for and include the maiden name if they are currently married.
First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Daytime Phone:
Evening Phone:
Email:
Comments:

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Vital Statistics

 
Mary De La Garza                                                                                      Jackie Herrera
Mary.delagarza@raymondvilletx.us                                                              jackie.herrera@raymondvilletx.us
142 South 7th Street
Office (956) 689-2413
Fax    (956) 689-0981
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