![]() Certificates are available to order online with the City of Middletown. Birth and Death certificates cost 25.00 per copy. Visit our Annual Reports page to find out more. The Vital Statistics Department provides Certified Birth Certificates for any birth that occurred in the State of Ohio and Certified Death Certificates for any deaths that occur within the city limits of Middletown, Ohio. Butler County Courthouse 428 Sixth Street P.O. ![]() The Butler County Health Department puts out a list of Annual Reports on various contracts and assessments within the health department and Butler County.
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