Death Cert
Death Cert
Death Cert
DIOCESE OF BUTUAN
DEATH CERTIFICATION
Kitcharao, Agusan del Norte, a parishioner of the Immaculate Heart of Mary Parish, had been an active
member of the GKK / Chapel where he / she belongs.
She / He died on _______________________ at the age ____ and was buried on ____________
at ________________________ cemetery.
This Certification is being issued upon the request of the interested party in whatever legal
purpose it may serve him / her best.
Given this ______ day of _________________________ 2011 at Parish Rectory office, office,
Kitcharao, Agusan del Norte.
In Mary,
______________________________________
Parish Priest
Parish Seal