Instructions to apply for an INFORMATIONAL copy of a Marriage certificate 1. Complete the form below for each Marriage certificate you are requesting. 2. Send the form with a check or money order for $15.00 for each certificate to: Inyo County Recorder PO Box F Independence, CA 93526 Number of copies requested @ $15.00 each _______ Information of the parties named in the certificate: First name

Middle name

Last name as listed on marriage certificate

First name

Middle name

Last name as listed on marriage certificate

Date of marriage

County where the license was issued

County of marriage

Information of person requesting certificate Printed name of person completing Date application

Telephone number

Address – Number, Street or P. O. Box

City

State

Zip code

Mailing address for copies if different from above

City

State

Zip code

Signature of applicant