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265 (ftf. ^ ) (Fin. R. Form N>. ^ ^ ^^3 me. ^ ORIGINAL COPY ( NOT TRANSFERABLE J st?t!n^ ^-?f«receipt FOR PAYMENT TO GOVpRNffENT > % fe^ft/piace. v C V A ^ ^ ^ i r i ^ O a t c. \ > \. ;. ncm ct\cu Troir;. ^^^S>Vy’ \^CX \ V ^. 5-/R S-. ; on account o f. ^. C.. t V ^ ^ \ L M a ^ l («^/S ig n a tu re y j j j ^ Cashier or Accountant i\/< H>269 (P3TR>/ C ertificate No Form” 5 3TITO? GOVERNMENT OF MAHARASHTRA HEALTH DEPARTMENT 3I?I5I^umf?ra)T MUNICIPAL CORPORATION OF GREATER MUMBAI 3Jr^ WOTWSr DEATH CERTIFICATE ( 3? ^ ^ cl 3 J F 5? ^ / t l 3 3 T T f^ 3 ^ T t ^ ^ o o o i f f^tjmch-i 3T ^ ancr arr^,) (Issued under section 12/1? of the Registration of Births & Deaths Act, 1969 and Rule 8/13 of the Maharashtra Registration of Births and Deaths Rules, 2000.) 3?Tt: tsr, arrcft arf^:, ^ Ward 3 ^ ^ 3Tl r MySpecialDates Г§evrimiГ§i This is to certify that the following information has been taken from the original record of death which is the register for Municipal Corporation of Greater Mumbai of Ward L of D istrict Miiinbai of Maharashtra State. JTRT/ Full Name of Deceased : MR. RAJU D, GAIPCWAD Date of Death : n^ srm/ Name of Mother 3TO EZTcRfrcir Not Available, IHT/ Address of deceased at the time of death EKTA CO-OP HOUSING, SOCIETY, R.331,NEHRU NAGAR,, KURAL (E), MUMBAI, , Maharashtra,India. fpfrz Sex : Male fectw/ Place of Death : MUMBAI Name of Father/ Husband : MR. DADA R, GAIKWAD cjtekfryr zpnmw ttrti/ Permanant Address of deceased : EKTA CO-OP HOUSING,SOCIETY, R.331,NEHRU NAGAR,, KURAL (E), MUMBAI, , Maharashtra,India.?t7T/ Remarks (if any) : tcj^ir^/»/rc V^-,’ Dafe of Issje : > f$mw/ Sea. f^dicb/ Date of Registration : fm te a r t e r – ^ r i T f r Signature of the Issuing Authority grf?m-zntjr ^m/ Address of the issuing authority : WardL,Mumbai. c i t y o f t h i s c e r t i f i c a t e r^llst bfe v e r i f i e d fro m o u r w e b s it e h t t p. //p o i. L-vi ‘”crcrm q o i