COPY OF DEATH CERTIFICATE FOR SAMUIL YAKOLEVITCH PORVIN
People’s Commissariat of Inner Affairs of USSR
File Department of national (citizen) affairs (acts)
People’s Commissariat of
Inner affairs DEATH CERTIFICATE # 1418
NKVD (People’s Commissariat of Inner Affairs) of the city of Moscow
Frunzensky district bureau ZAGS ( Government Service)
19.III – 1942year. Citz. PERVIN Samuel Yakovlevitch died on 15th of March
SEAL: Bureau of records of national affairs
STEMP: 1942 y. month of March, 23rd. I am a federal notary of the 1st Moscow Federal office, Koreunova ?. N. certify a truthfulness of an identity of the information contained in this copy with the information contained on the original document which was presented in this office by a citizen Romanova C. E. residing in the Moscow city. Khorosh…??….? 2, app. 6.
When comparing the present copy with the original document, the latter does not contain any corrections, erased information, added to the original writing information, crossed out words, and other particularities.
Charged EGP(?): 1 ruble, for technical service: 2 rubles at 23, iii, 1941y.
(Ineligible writing) 6806 …………14795
SEAL of the Federal Notary office #1.