Certificate of Birth Fee Worksheet

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Certificate of Birth Fee Worksheet FEE INFORMATION Print name of person applying as it appears on the application: Number Requested Item FIRST MIDDLE LAST Fee for each Total Per certificate for each birth record Optional - An expedite fee is an additional per-record fee that will place your application ahead of other applications. The expedite fee DOES NOT replace the $16 per record fee. An expedite fee DOES NOT include Federal Express or other special mailing fees. Optional - Federal Express Mail Service is $16 for most deliveries. Higher rates apply to:  Saturday delivery  International service  Alaska and Hawaii deliveries (please call Fed Ex for the fee prior to sending application) $16 $ $20 $ $16 (per order only) $ Please mark form of payment: Check Total amount included: Money Order $ Mail the completed, signed and notarized application form, birth certificate fee worksheet, copy of your valid driver’s license or state issued ID, and check or money order to: McLeod County Auditor Att: License Center 2385 Hennepin Ave N Glencoe, MN 55336 Checks returned for non-payment will be charged a $30 fee according to Minnesota Statutes, section 604.113, subdivision 2 and civil penalties may be imposed for non-payment. If you have questions, please e-mail auditor@co.mcleod.mn.us or call 320-864-1234

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