DEATH CERTIFICATE

Shapovalova Olga Alexandrovna

• Citizenship: citizen of Russia
• Date of birth: 03/06/1977
• Place of birth: Dubovoye village, Elansky district, Volgograd region, Russia

Died: 21/11/2000 (twenty-first of November, year two thousand)

• Death record: No. 1635 dated November 21, 2000
• Place of death: Volgodonsk, Rostov region, Russia
• Place of state registration: Civil Registry Office of the administration of Volgodonsk, Rostov region

TRUE COPY

• Specialist: Romanovsky V.V.
• Date: November 21, 2000

Head of the civil registry office: V. V. Borisova

• Series and number: I-AN No. 583754

Note at the top: "Investigator"