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Vitals Information Partnership Electronic Death Registration City or Town Opt-in Notification Form Please fill out the form below. You can send this information via email to < HYPERLINK "mailto:[removed]" >vip@stat
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Document Date: 2014-03-17 13:38:20

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File Size: 29,61 KB

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City

City/Town / /

/

Event

Environmental Issue / /

/

Organization

Massachusetts Department of Public Health / /

Person

Vital Records / /

Position

clerk / funeral director / /

ProvinceOrState

Massachusetts / /

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