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AERTS PETE
GOVERNMENT OF MAHARASHTRA £ "
oréive Rrer
_ HEALTH DEPARTMENT
savor Pastfre arerroan eerftes Qare ATE
wees aTftres Hrevrrearferent, af / NASHIK MUNCIPAL CORPORATION, NASHIK” “eye
Rajiv Gandhi Bhavan, Sharanpur Road, Nashik, ,
ary Sao ‘
DEATH CERTIFICATE” ’ 1
Cia get dean afiben, 2949 va aan 23/ho ahi Rare sey aM yey aleul Ran, Yoo 3 Ran c/23 aR
nate SHEL sat)
(Issued under section 12/17 of the Registration of Births & Deaths Act, 1969 and Rule 8/13 of the Maharashtra
Hogistration of Births and Deaths Rules, 2000.)
sare arash, aftr we RT es hereon eet ora are an, A srererTeeTET,
Argan , farce arf, mere rearean dicate sede ont
This is to certify that the following information has been taken from the original record of death which is the
register for (local area /local body) Nashik Municipal Corporation of tahsil / block Nashik of District Nashik
ot Maharashtra State.
yaad yp tie fem:
Full Namo of Deceased Sex:
NALINI ARJUN TEIALE Famele
spy tears aga Bai:
hate of Death : Placa of death:
a9/og/2098 NasHIN FAST 5 &
wa afecia / wt yeti
31 Motor Ful Nam of Fait / Husband
Gavuoal suivant Kav AROUN HARI TERALE
sre uae yea a sf RT AT:
Acldress of the deceased at the lime of death : Permanent address of the deceased=
2949 TEJALE CHAWK NASHIK « £ 2849 TEIALE CHAWH NASHIK » 4
‘iieol Palen
Date of Registration :
93/19/2908
“Engure Registration of avery birth & death"saves aa / Certtoate No, 086847 FRA & / Ferm-6
FETS TT
GOVERNMENT OF MAHARASHTRA
are fart
HEALTH DEPARTMENT
rarores Patina cecorear eorrtaren RATS ATE
‘meh safes wererenferet, af /NASHIK MUNCIPAL CORPORATION, NASHIK Nove
Rajiv Gandhi Bhavan, Sharanpur Road, Nashik.
eg SATA
DEATH CERTIFICATE
(si a yey sizoh afafiem, 9989 oT ae 42/40 auf maT, Sia] aa HRY siauhl Fla, Yoo A Ram c/29 aaa
avers 3414 SATB.)
(issued under section 12/17 of the Registration of Births & Deaths Act, 1969 and Rule 8/19 of the Maharashtra
Registration of Births and Deaths Rules, 2000.)
swonfire emewara a ore ol, refit med ype ys aRReren Theaga doa arch ane, af aA nfeneerrrefereR,
argpa afgrs , Riegr arte, were Weare aeadia sect or.
This is to certify that the foltowing information has been taken from the original record of death which is the
register for (local area /ocal body) Nashik Municipal Corporation of tahsil / block Nashik of District Nashik
ol Maharashtra State.
yaa ph aia fee
Full Name of Deceased Sex:
‘SUMAN BHIMRA) Female
TEMOLE
pe kin oe Bam:
dale ol Death ge nyovg9qy Piece af cenths Ngati, PIT QD mn
carga gol wet cafaaid / vata apt aia:
Naine of Mother Full Name of Father / Husband
ANUSAYABAI KONDIRAM MORE BHIMRAD HARI TEIOLE
aa auidion yer oa rea Bea IE TT:
Acitess of the daceased atthe time of death: + Permanent adeess of te decease
949 GAHADEO BHUVAN TEIALE CHAWK
VADALA'NAKA NASHIK ‘
aleoh feaias
Dato of Registration :
: 10/10/2008
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sro Rega is ie
Date ot issue : \ yared by
fa/z009
: Praeten aan
‘opled by Nashik Municipal Corporation, Nashik
“ore oe aT EA WT RETR aM "Bnaure Regletration of every birth & death |]a fr. BR
WB SYGL” CSP TITY
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