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Forgive me if someone already replied to your query.
Go to the "Upstate New York Genealogy Blog" (in NY-ese, "upstate" =
anywhere north or east of NYC) and look at the information in the right-hand column.
Follow and read all links and comments. As you'll see, paying $22 to a city/town clerk
will net you a redacted, type-written document while paying $22 to the NYS Department of
Health will net you a photocopy of the original document. (It will also depend on the
years you are interested in.)
I'll also post this into the Delaware County mailing list where I read this message
(it was "gate-wayed" there by ancestry.com
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