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Get Minnesota Death Certificate Application 2005-2024

) DATE OF DEATH (Required) PLACE OF DEATH (CITY, VILLAGE, TOWNSHIP) COUNTY OF DEATH (Required) DECEDENT S AGE/BIRTH DATE DECEDENT S SPOUSE $13.00 First certified record without cause of death (only for records 1997 to present) $13.00 First certified record with cause of death $6.00 Each additional copy of the same record issued at the same time 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. I am the: spouse of subject grandchild of the subject child of the subje.

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