You are on page 1of 2
‘oa }2 epation 0 (Wph tag PASC) 6077 i OSH Ecns\oS G509 oGana ° ek . 888 wraort uSeyi ygsgsatd =) REGISTER OF DEATHS =} 8 eG Ys oansloae engmies aminps Oped Rank or pro(eson 6 OB acd abaes 9B Gaidmreeru yd Coutact Pent full names ana Mater ie ealg® en GOI on gH He oun nembaiiod oryemd, anda megs pam Goin But (Causeof ethan place of bua or cremation no J 8 B08 gpnqimem (110008 2B ade) nfs 110) (Cap 110) | Sao 14 Coss ad _feeee SSIES SES eos ize/e aK eag> rs pPAsch BaSsB 2 N28] VAAS® . os eer cn Saree sae) POs 2S AS ASD Reask [aS SSeS abs - see A, oS Suxddes- Ghote kees snes age Jentened SiS enBoo - ‘Scanned with CamScanner 197 gaa 41 qm Bow, cresin #0 8565 (owed) Semel cwnitie eroynin ex Bem BRS BE.2 prrpemeat 1108m obDakked 11 ¢ Oe Sealed BABII wee! 869 Bm gst mam oc OD enn A Bbvinin® 1975 aed ayerige 41 ayb Spiyec, Baines, awag Boas) 9 APerd Poydieinteusyunse Sooed, Brinjrc, sBame vPe Ged ACL oO Bhi 1 21 Ber ghieOacer eB cartninGlcing This copy is sued under the provisions of Section 11 A ofthe Biths and Doals Registation Acs (Cap. 110) amended by ‘he Bins, Deaths and Mages (Amendment) Law No 41 of 1975, Bee Oorees 202 SES BSB Ret ocBDNS | eBaim FAB OREO | ecBAGE ‘ eet une) Goan nowt uBenet] uBame: Disc Regetrar Aa! Disrit Regitrar/ Registrar 2. - €89 Bdnendl 206 gat;Smr Sey BB amt oral BOS OO ere 9 80, olin, - BODGAG Oohinjent Hing UNdect Orde pamLadEhL ahamE [Note ~Itisa punishable offence to make any sion or alerstion nis copy. ua Sed. 8, eae B8a0: 2

You might also like