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Get Ak Civ-715 2010-2024

DER AS 12.65.100) I, the undersigned, swear or affirm under penalty of perjury that the following is true to the best of my knowledge and belief following diligent inquiry: 1. I became aware of, and am providing, the following information in my capacity as: (funeral home employee, law enforcement investigator, landlord, guardian, health facility employee, etc.) 2. The deceased person named above died at or near , Alaska, on or about , under the following circumstances: 3. Other information.

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