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2. Humboldt County Library Obituary Search Request Form
4. Social Security Number of Deceased, if Available
5. Name of Deceased*
   First Name.................................Middle..................................Last Name
7. Exact Date of Death
   Exact Date of Death
   Check the Social Security Death Index if you are not sure of the exact date.
8. Approximate Date of Death
   If you cannot give an exact date, give all the information you have. For example, "Spring 1897 or 1898" or "the same year the Samoa Bridge was built" or "died in service near the end of the Vietnam War." Be aware that if too little information is given, your answer may take longer to find or may not be found. The search fee is not refundable.
10. Place of Death
12. Other Information about the Deceased
14. Your First Name*
15. Your Last Name*
17. Your Mailing Address*
19. City*
20. State*
21. Zip*
23. Your eMail Address, if any
24. Telephone Number
25. Fax Number
27. Enclose your check or money order for $10.00 and a self-addressed, stamped envelope. Mail to:
    Obituary Search Request, Public Services Division, Humboldt County Library, 1313 3rd Street, Eureka CA 95501
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