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R-408 Divorce Certification Vital Statistics
R-408 Divorce Certification Vital Statistics
R-408 Divorce Certification Vital Statistics
Docket No.
The Commonwealth of Massachusetts Department of Public Health Registry of Vital Records and Statistics CERTIFICATE OF ABSOLUTE DIVORCE OR ANNULMENT
(G.L. Chap. 208, Sec. 46) R-408
Husband-Name First 1. HUSBAND Usual Residence-Street Address 2a. County 2c. Wife-Name 5a. WIFE Usual Residence-Street Address 6a. County 6c. State 6d. 6b. First State 2d. Middle 2b.
Middle City, Town, or Location Date of Birth (mo., day, yr.) 3. Last 5b. City, Town, or Location Date of Birth (mo., day, yr.) 7.
Last
9.
10a.
10b.
FOR COURT USE ONLY County of Judgment 11. JUDGMENT Date of Judgment Nisi
(mo., day, yr.)