If you mean where do I find the indices,then you would
go to the Pa. Dept. of Health site, and search public records. If you mean the certificate itself, normally,
you would contact either the Dept of Health, or the Pa.
Archives. The Dept of Health takes about 16 weeks. I
don't know how long It takes for the Archives. I usually
get them for customers,but now Ancestry is copying the
certs,and some years are not available at this time.
1919, might be in that range now.