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DEATH GhtroT
SsUED UNDER
RTHS &DEATHSSBCT*ON 12/17
RULES 1999,) OF THE REGISTRATION OF BIRTHS &DEADIS ACT, I969 AND AULE B/13 OP THE ANDHRA PRADESH REGISTRATION OF
THIS IS TO CERTIFY THAT
GRAMA THE FOLLOWING
INDIA PANCHAYAT CHINAGANIPALLI OF INFORMATION HAS BEEN TAKEN FROM THESATIHA
ORCLAL RECORD OF DEATH WHICHIS THE
REGISTER FOR
ANDHRA PRADESH,
TAHSIL/BLOCK AMADAGUN OF DISTRICT sRI SAT OF STATE/UNION TERRITORY

Sttao5 sNAME OF DECEASED ,

5o AADHAAR NO,. MAYAKUNTEA ADINARAYANA
O0COXX7314
Soco5 38/DATE OF DEATH: roalgbo ACEOF DEATH:
03-03-2023
THIPD- JULY-TWO THOUSANDTWENTY 1HREE CHINAGAMALLE AMADAGUR, SRISATHYA SAL, ANDHRA
PRADESH,
519556
WIEE.
dboK saus, MSANANAMEOF AUSBAND/
67 TEARS SaK7AGE OF DECEASTD:
cOoHUSBAND/WIEE AADHAAR NO. :
NAME OF MOTHER: ndo tuco NAME OF PATHER

S6Son/ MOTHER'S AADHAARNO, sV6 JoN ATHER'SAADHAAR NO :

Sdo5 yb† 565 /ADDRESS OF THE DECEASEDAT THE TIME ORsO d PERMANENT ADDRESS OF DECEASED
DEATH :
CHINACANIRALDE, AMADAGUR SRI SATHYA SAL,
CHINAGANPALLE, AMADAGUR, SRI SATHYA SAT ANDHRA ARNDESH
ANDHRA PRADESH
Ca J8OATEOF R¯GISTRATION:
5Sc6 5oas REGISTRATION NO: 06-07-2023)
D202328-11329-000020
owes/ REMARKS (IF ANY):
REOONENDED

8 SS etsSoöso ISSUING AUTHORITY

ab53a/DATE OF ISSUE:
06-47-2023 REGIS IRAR (BIRTH &DEATH)
GRAMA PANCHAYATCHINAGANIPALLI
coeRNEN OF ANDRRAERADESU
UPDATED ON:
06-47-2023 05:40:32

CERTIFICATEWHICH CONTAINSOPACSIMHLtt6NATURE OF THE ISSUING AUTHORITY

GENERATED
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