Type of record* (e.g. will, marriage, deed, birth, death, estate settlement): |
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Name of first party (e.g. groom, grantor, mortgagor, decedent): |
___________________________________ |
Name of second party (e.g. bride, grantee, mortgagee)--this will not apply to births, deaths, etc.): |
___________________________________ |
Date of this record (if known): If you do not know the date, please specify the years* to search: |
___________________________________ |
If you happen to know the book number, page number or other location, please state here: |
___________________________________ |
Your name: |
___________________________________ |
Your street address: |
___________________________________ |
Your city, state, and ZIP Code: |
___________________________________ |
Your telephone number: |
Area code: (_____)____________________ |
Your signature:
|
___________________________________ |
Breckinridge County Archives
P.O. Box 538
Hardinsburg, Kentucky 40143
* We highly recommend that you look at the Records Inventory before you make this request.