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C/O KRISTO ASAFO MISSION

P.O. BOX 1524


KOFORIDUA

3rd September, 2008

APPLICATION FOR DEATH GRATUITY


LATE C/O. SAMUEL ASASE

I wish to apply for the above mentioned benefit in respect of the above-
named who died in active Service on 3rd January, 2008.

2. The late officer, until his death was stationed at Nsawam Medium
Security Prison.

3. I attach, herewith, affidavit and obituary notice for your perusal and
necessary action.

4. Submitted, please.

C. W. K. AGBALE
(HEAD OF FAMILY)

TO:

THE DIRECTOR GENERAL OF PRISONS


PRISONS HEADQUARTERS
ACCRA.

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