Certificate of death IV-IC No420804 Certificate No. 420804 from 29 November 1984.

Paper on the printed form of the death certificate. The general information is printed in a typographical form, the individual's hand-written with purple ink, and the document is sealed with purple ink. Two black ink records on the back. The death certificate was issued on 29.11.1984. Solnechnogorska.

Creation time: 1984 yод

Place of creation: Russia