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Date Sold
Date
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Page
Block No. 6 A/
lI Name
Residence
Certificate No*
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PLACE OF DEATH
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Date
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AGE DATE of DEATH
Sex Color
Yon Maattu Days Year Mouth Day
Page
CAUSE OF DEAT11
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Certificate No. Aral. Paid, $
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Date
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Page
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Name Lot No. / / 7Z TT7
Residence
Certificate No,
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