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•B · ~_fil 314896
REPUBLIC OF TRINIDAD AND TOBAGO

l
DEATH IN THE _ . u } . ! , d _ Q . ~ - ~ ~ , , O , * t c . . f '
Signature, Description Signature of Locality
Name and A I Rank and Profession and Residence of When
No. When Dead Sex ge and Country of Birth Cause rJ Death Registered Registrar where died
Surname Informant
.; r-€!:l G'f'l/lJ(1 ~e.t1.+ 9i. s uca .- m G_ka[
.,
.. +t~+ >-'Ian~ .
o.rno~
,on-ioU-+or of...., M.:jo c.o.rd.u:i.1.::rnfurd;<fY? +-1.-J:l, I +/ct;p'.J:o.l;
81bl~+ /.~:od "1a1a 103 72.o~+!)ry,d. Cor'CX10-y_ 4~5dett>5; ooY'1
A~+
Jro.r- IYo Ph.'-'!--,rpuu2, C:V--l ·ti}· Dr.\J,pJJL_' , .~.~-
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Lqqo Tr, 0 MD t4<-P ?o.#, ?hJ.l:.?,n£ lqqo
I, Registrar General of Trinidad and Tobago, do certify that the above is a true and correct Copy of the Entry Number '?1 b
entered at Page Register of Deaths for the Year~ ,qq O
// ,. '~' C:
I In Witness whereof I have hereunto set my Hand and affixed my Seal of
Office, this ____ $_~----- day of __iJ,_V..eai,b-JU:: _____________ in the
year of Our Lord, Two Thousand a n ~
GP, TR/fo.-

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