D4687682976/2014

Zone 09 Division 111

Name GANESAN.E

Name of Father / Husband ELUMALAI

Name of Mother NOT MENTIONED

Permanent Residential Address NO.6,RAJAMANICKA PAKTHAR STREET, SHANMUGAM
COLONY, VILLUPURAM,TAMILNADU 605602

Address of the deceased at the NO.6,RAJAMANICKA PAKTHAR STREET, SHANMUGAM

time of death COLONY, VILLUPURAM,TAMILNADU 605602

Sex Male
Age 57 YEARS
Date of Death 03-APR-2014
Place of Death APOLLO HOSPITALS 21, GREAMS LANE CHENNAI -600006

Registration Number 2014/09/111/000229/0

Date of Registration 10-APR-2014
Date of Issue 25-JUL-2014
Remarks (If Any) HDR NO.174/2014

25-JUL-2014

Note : This certificate is computer generated and does not require any Seal/Signature in original.
The authenticity of this certificate can be verified at www.chennaicorporation.gov.in. The Registration
Number is unique to each death.