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    11 views5 pages

    202308301454

    Uploaded by

    Alma Print

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    © All Rights Reserved
    Download as PDF or read online from Scribd
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    ROUMANIE ROMANIA ROMANIA CERTIFICAT DE DECES CERTIFICAT DE DECES/DEATH CERTIFICATE Seg p12 Nr 449173 Série/Series| DATE PRIVIND PECEDATUL Cod Numeric Personal [1/67 9 ST RP LO pL Bale ancy he cece Numéro personnel/Personal number S A A LL Z2ZNNNNNC Rumele de familie ANTONIE Essnumels.. DANIEL Sao [Mascunin | BASSP RES one oy ann | SSP RA pe Locul nasteri Localtatea/Lacalia/Pace Jude bapariemenvonuniy Rew ge nsigsances TERNUT MURE: Bomicil Tosaltateaiaca aa] ude /bsparemanSaaniy ete COM. BAITA SAT TRESTIN- NR WS HUNEDOARS BRSSSEBU or dean t ER5aN SSSR sean ie Losaliatoaiconarias TedetuVbaparement Coun 2023 [08 | 22 DEVA HUNEDOARA DATE PRIVIND PARINTII__ /Données concernanties parents/ Date concerning the parents aa Rumele de familie ANTONIE Pere/Father Prenumele TLIE MAMA Romeenease farnilig ANTONIE: Mére/Mother Brenumele OCTAVIA Act de deces nr.) te Bre LVL] din, \ \Y22 ous see inregistratia__ DEE < eee {isicicaarbascatreiea _ m (Localté/amts rsulat/Place/Embassy/Consulate) Mentiuni - Mental Semndit Jo ane SignaturelSi own naa Nore 2023082 ata bateate AARAULLZZ 4, Pate tnregistrri: CERTIFICAT MEDICAL CONSTATATOR AL DECESULUI NR. Shin Ade, vw» Sexul: M/F~ CAUZELE DECESULUI 1. Bosla sau afectinnea morbida care a provocat decesul a) 8) Cauca directa (imediat8) Boala sau starea morbida care a provocat direct decesul b) Cauze antecedente » Stiri morbide intermediare care au dus la starea inscrist mai sus (pet. “a") ¢-4) Starea morbid init Boala sau boil initiale cae au declansatstrile-inscrise leet “o” ga” cae constiuie cauza feauzee deter gy ante). ( 1. Alte stiri morbide importante Stari morbide care au contribuit la. cu boala sau starea morbid care I ROUMANIE oBERhe CARTE ow terosizz0001 CARTE GF NOERTIATE coger w9526 = DANTE JJUd.HO Sat-Trestia (Com.83ita) 03.08.2031 IDROUANTONIE<

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