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Solemnization Form
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TITLE I CANON XIX SECTION 3 (c)
TO: The Ecclesiastical Authority of the Dioceses of Western New York and Northwestern Pennsylvania
This is to certify that the marriage of (Name 1):
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And (Name 2):
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was solemnized by me on:
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at (Congregation Name and Location):
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within the
Diocese of Western New York
Diocese of Northwestern Pennsylvania
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Clergy signature (Typing your full name serves as your signature.)
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Position:
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Date
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