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Tagan avi Form No.6 ition ayes ~ GOVERNMENT OF TAMIL NADU payut6 (jean niyyti efi episod gyenyy DEPARTMENT OF MURICIPAL, ADRIMISTATION AND WATER GUPPLY Ganunhiyhoa) ronpayae 60 CCOMDATORE CoNPORATION etn anciyhigyp DEATH CERTIFICATE 1a} a. gna sn eponpantnng tings) sf 1217 ung gyn oun EH yeaa 2000) ut, at> Ee rece neeRSeCHON 1247 OF THE NEOIGTHATON OF HIRING & DCATIS ACT, 1E0 ANO NULE AX OF THE TAMK, NADU REcISTHATION oF BHT AND DEATH RULES 2000) Srigt, Ane Dem. hn anh, Coruna nea, Canasoppa oxox umpage Crtn ats nntopiooe ydstpirguaitt manonapy antane eee Meee an eyY TAT THE FOLLOWING IFONUATION AS OCC TAKEN THOM THE ONOHAL RECORD OF DEATH W8NCH 5 THE EOBTENTOR CONPONLATION WARD 35 OF COMDATOR HONTH TALUX OF COMDATONC DISTRICT OF TAMIL HADU STATE, DUA, NAME OF OLCEASCO! Quy ai) scrum MALE ge BALASUNOARANX ‘mtassniha VONUMOLIROF OF CEASLO Binet aL) eds OAT OF OCA Ainsbs Cx rS0Kn020—* PLAGE OF DFAT PeTCEN-APmiLTWO THOUSAND TWENTY KOVAIMCDICAL CLNILIT AND HOSPITAL MUTED, oko, cosinarone -s4r014 AoC OF DECEASIO/ DARN) we YEARS avast sneAmo4 asad ning nypeyennonae ‘pata NAME OF MOTHER Muu CU) NATCHAMMALK pndatbondha RTITLNAME peng Qu) ANDIVACOUNDETL aati Una. ut MoniF T's UD MUNN pec an) ad saan Wir We ras Hamers Ou FAILS UONO. pang gang oot Cae iaceeeteniin: HUSOARD WATE UID NO YacHE oem Ags te AODNLSSOF HE DECEASED AT WIE HME OFOCATH Ce rey) Qoxwen Cungs Dortgerfer ypacut Bonbsorher nag unseat 2108, DEVANANPALAYAM POST, ,POLLACH, CONMBATONE, TAIL NADU ea2i20 2106,

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