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It has not been edited and may therefore contain several errors.

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HANCOCK COUNTY HISTORICAL SOCIETY Post Office Box 1340 Bay St. Louis, Mississippi 39520
RECORD REQUEST APPLICATION
The Society will reproduce only materials from its collections.
The Society does not sell County photoduplicates, but merely performs the service of research and will identify the location of source you are requesting. You will order direct from source.
It is understood that your submitted material will be filed and open to public for reference. All responsibility for questions of copyright that may arise in the copying must be assumed by the applicant.
Please wait for a reply to this order before submitting another.
County records which are researched by the Society are deeds, marriage, wills, court records, school registers, naturalization, society surname index and subject index, subjects of your choice.
THE RECORD OF RESEARCH FOR APPLICATION
(1.) NAME:	NOT	INDEXED	(	),	NjpJL.	LOCATED	A	),
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(2.)	NAME:	NOT INDEXED (	),	NOT LOCATED (	),	FOUND (?? ).
CORD LOCATION: __________________________________________________
(3.)	NAME:	NOT INDEXED (	),	NOT LOCATED (	),	FOUND (	).
RECORD LOCATION:
(4.) NAME:	NOT	INDEXED	(	),	NOT	LOCATED	(	),	FOUND	(	).
RECORD LOCATION:
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(2.)
(3.)
(4.)
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In order for us to process your request form must be completed and forwarded to us. Only four (4) records will be searched at one time. Your letter will be crossed indexed by our Society and names will be entered into a surname file of the Society for futher public research.
To maintain the cost and service our Society asks a donation of ten dollars ($10.00) which is Tax deductible to the donor, society tax exempt corporation number 64-0613340.