Your Préname/Name
Address
Postal Code/City
Town
Address
Postal Code/City
Done[your city], on [précate the date].
Object : Request for an extract of marriage without filiation
Madam, Sir,
I would be grateful if you could send me an extract of the ;marriage record of [indicate the names and surnames of the persons concerned], executed at your town hall on [indicate the date of the marriage].
Thank you for sending it to me at the address below.
In the meantime, please accept, Madam, Sir, my best regards.
[Your signature]