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(ess dite Shed iyo tos, wri Daren issUeD UNDER SECTION 12/17 OF THE RECISTHATION OF BIS & DEATHS ACT DeAaTHIS RULES 1959.) aot, sareroty Siem tnd Baty oop ues oe dats “ SSB Sezai tine ie eortowine msFoniann Pi ark DONADA OF TAUSILBLOCK PEDAFUDI OF yetets Sg "2t / NAME OF DECEASED; VEDURESWARAPU VEER RAL 28 fosis/ ANDHAARNO. soms00on202| ‘$4009 [DATE OF DEATH: iemaois ‘TENT SIRT JANUARY-TWO THOUSAND NINETEEN “AGE OF DECEASED: sonenag, & oer J] 6, ka wane or MOTHER 225 Soni MOTHERS AADHAARLNO.: ‘Serato ye Dance / ADDRESS OF THE DECEASED ATTHE TIME OF DEATH. 125, oNAba, EDAPUDI. EAST CODAVARL, ANDIRA PRADESH 533008 ‘abne) Sony / REGISTRATION NO: 2010 eabe2e.oo0007 Dassen / REMARKS UF ANY 9 06 DATE OF ISSUE: 23012019 ISSUE: DATED ON | 012010 17.39.28 THIS IS A COMPUTER GENERATED CERTIFICATE. « Seneca aR RATED 2-015 JHE GovE OF INDIA VIDE eIRCUL ; apeoven nse (69 esta 659 Soden aarcrs LAR NO 171372014 = see Ce cata nearer RESET SICAL ANI TASTY WELFARE HAMA PANCHAYAE DOMADA dadea by Seto DEATH CERTIFICATE Cerda, wo GO 29 Side Src Rasen te, ea oh a cy AND WE: B13 OF THE ANDIEA PRADESH REGESTHATION OF ta sucigeten dnt tote wee wb te CO eR arco OF DEATH Wile fo fli REGISTER PDISTIICT EAST GODAVAN! OF STAT eats Bene, E/ONIGN TERIITORY ANDIWA PRADESH, INDIA ort: DIED MALE Sustects @2sbo I PLAGE OF DEATH Uae ToMADA, PEDAVUDL EAST GODAVARI, ANDHRA M1 Sas 68, wdjtads / NAME OF HUSBAND I WIFE: ecrb ou / HUSBANDAWIFE AADHAAR NO. og. es) NAME OF PATHE ‘YESamESWaRADU VEERABMADRAM ‘208 dons / PATIIER'S AADHAAR NO. Subd Sdorsey DST | PERMANENT ADDRESS OF 3125, DOMADA, PEDAPUDI, EAST GODAVARU, ANDHRA PRADESH. 533005, ‘80e 3; DATE OF necisTATION 26-01-2019 | " we Bus ease azo smear PANCHAYAT SF OBE TAR 3S sade _ y neoGinaR inant ebay GRAMA PANCHAYAT Homaba

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