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Translation
from Russian into English
DEATH CERTIFICATE
Citizen: Ivanov
Ivan Ivanovich
(surname,
first name, patronymic)
died on year
one thousand nine hundred ninety nine
at
the age of 59
years in witness
whereof an entry under
number
1111
in the Death
Register was made
on the
6th
(day)
of
January
(month) 1999
(year)
Cause
of death: Cancer
of the right lung with complication
Place
of death: city, settlement the
city of Moscow district
Region,
republic
Russia
Issuing
authority: Branch
of Civil Status Registration Office
name
and location
Office
the Yuzhny district of the city of
Moscow
of
the civil status registration office
Date
of issue: 16th
of August
19 99
Seal
here: Head
of the branch
of
the Civil Status Registration Office
(signature)
|
Seal: |
Branch
of Civil Status Registration
Office |
of
the Yuzhny district of the city
of Moscow |
I-AA
№ 999999 |
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