02 - Death Certificate of Prakash Reddy

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FOllM No. IQ (V
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4 GOVERNMENT OF TAMILNADU
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DEPARTMENT OF S5S
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issue<1 under secUop. 12
o'dearh • of rbe . Regiitr.atio/i! of • Births :snd Deaths Act, ,1969
issued under section 17
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i; ;.: to cGrtiiy that tlie JoUowing information has been Taken frorn the original record of qieath
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■ ’• 'iv !> is i;i the register of (local area)
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Hosur ol District Dhatmapuh
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. '•: i'emilnadu.
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Registration No. 1Z)
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oi Htgisvaiion ; \°l

i\.irn> of ^athitrtvioili-r/Husband esstEr ^^

v- : I.-.’.tonality

Pcirnencnt Addivsr
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r> Signature of issuing ^cnhoriiy
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Head Qtb. Deputy tUufSdar
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j- ; m j.he cose of death, no discloVu^- jiiiitrde'’ mode of particulars regarding the ca use of
dcoth cs entered in the register.
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