# DEATH CERTIFICATE PDF — COMPLETE TRANSCRIPTION / TRANSLATION

This markdown file covers the entire PDF as one file, in the same order as the pages appear in the PDF.

The PDF contains two distinct death-certificate forms bound together in one PDF:

1. Novi Sad death certificate — pages 1–2  
2. Subotica / Palić death certificate — pages 3–5

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# PART I — NOVI SAD DEATH CERTIFICATE

Institution / date: Municipal Assembly of Novi Sad, 18 December 1978

## Basic data

1. Family name and given name of the deceased: LAKATOŠ PAVLE
2. Occupation: agricultural worker / farmer
3. Year of birth / age entry: 1928
4. Marital status: divorced
5. Date of death and place of death: 7 November 1978, in Bački Vinogradi
6. Regular place of residence: Novi Sad, Trg Majke Jevrosime No. 5
7. Citizenship / municipality of origin: SFRY
8. Name and residence of spouse: not entered / crossed out

## Adult heirs and minor children / heirs

Typed entry under item 9:

1. Kopljan Roža, from Novi Sad, Zadružna No. 25, represented by Helena Uzelac, attorney, Novi Sad, Vojvođanskih Brigada No. 10.
2. Beker Irena, from Novi Sad, Trg Majke Jevrosime No. [illegible in the scan].
3. minor Lakatoš Ištvan, from Novi Sad, Trg Majke Jevrosime No. 3, represented as guardian by:

Typed continuation under item 10:

his mother, Lakatoš Vera, at the same address.

## Handwritten addition of key importance

Below the typed text, a handwritten entry was added:

4. minor Miletić Milivoj, son — guardian: attorney Lisica Miloš

## Estate / property

Under item 12:

1. Real property described in the extract from possession list for cadastral municipality Novi Sad IV, Nos. 407 and 3160; then real property entered in possession list for cadastral municipality Futog No. 1951; and real property entered in the land register extract for cadastral municipality Bački Vinogradi No. 800, attached to the death certificate.

Under item 13:

2. one Fiat 1100 van, registration number NS-325-65.
3. one motor cultivator / tiller, a machine for cultivating orchards / fruit.
4. The deceased remained indebted to Vizmeg Julijana from Bački Vinogradi, Vinogradarska Street No. 23, in the amount of 60,000 dinars in cash.

Under item 14:

- Approximate value of real property: 276,662 dinars

## Additional declarations on page 2

15. Whether there is a last will statement, inheritance agreement, gift in contemplation of death, or marital property agreement; and where the documents are kept: none / blank.
16. Whether the deceased was a guardian, and to whom; which court appointed him: none / blank.
17. Whether the deceased handled funds of a public authority, foundation, or similar institution; whether he received salary, pension, or other payments from a public treasury: none / blank.
18. Whether papers, drafts, or objects belonging to state authorities or public institutions were found in the estate: none / blank.

## Signatures / forwarding note

Typed note on the left:

The proposal to initiate probate proceedings was made upon the written request of the representative of the heir-party, Helena Uzelac, attorney from Novi Sad.

Stamped / signed on the right:

Official of the Municipal Assembly of Novi Sad  
Dušan Berić

Lower forwarding section:

To the Municipal Court, Novi Sad  
We are forwarding the attached death certificate for further proceedings.

Signature block:

Head of the Section / Department for General Administration  
Dušan Maksimović, LL.B.

Reference mark visible on the page:

680/78

## Handwritten note at the bottom of page 1

IRIG, I. L. Ribara 75

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# PART II — SUBOTICA / PALIĆ DEATH CERTIFICATE

Court marking / filing note: Court in Subotica, 1978  
Visible handwritten reference: O 2470/78

## Header

Deceased: 31/II. 1978  
Place: Bački Vinogradi

Document title:  
DEATH CERTIFICATE — HALOTTI LEVÉL — ÚMRTNÝ LIST — CERTIFICATUL CONSTATATOR DE MOARTE — СМЕРТЕЛЬНИЦА

## Place and date of issue

Prepared at: Local Office of Palić  
Date: 10 November 1978

## Deceased person

LAKATOŠ PAVLE  
born 25 January 1928  
in Hrtkovci, Ruma  
father: Lakatoš Stjepan  
citizen of SFRY

## Death data

Place of death: Bački Vinogradi  
Date of death: 7 November 1978  
Time of death: 16:00

## Residence

Residence / place of stay of the deceased:

Bački Vinogradi No. 231

## Spouse and children

Divorced spouse:

[handwritten correction above the line: Lakatoš] Guljaš Verona  
“address unknown” — struck through  
Novi Sad, Trg Majke Jevrosime 5

Children:

1. Kopljan Roži, née Lakatoš, worker, Slana Bara, Zadružna 25  
   handwritten addition: N Sad
2. [handwritten correction above the line: Beker] Lakatoš Iren, Novi Sad, Trg Majke Jevrosime No. 5
3. Lakatoš Ištvan, Novi Sad, Trg Majke Jevrosime No. 5

## Other relatives who could be called to inherit

./.

## Immovable property

1. 1/2 share of a house in Bački Vinogradi
2. 2 cadastral holds of orchard in Bački Vinogradi
3. 1/2 share of a house in Novi Sad, Majke Jevrosime No. 5
4. 4–5 cadastral holds of arable land in Rumenka, near Novi Sad

## Movable property

1. one “Combi” vehicle, registration number NS 325-65
2. one small tractor (milling cultivator / frezer)

## Property subject to special regulations

./.

## Cash, securities, valuables, savings books, or other important documents

./.

## Debts

No typed entry is visible in this field on the scanned page.

## Testament / lifetime support / disposal of property during lifetime

Without a testament.

## Expected birth of a child of the deceased

./.

## Whether the deceased’s children or spouse have a guardian

./.

## Whether the spouse, child, or another possible heir died before the deceased

./.

## Persons who provided the information

Handwritten signature: Lakatoš Stevan  
Typed name: Lakatoš Stevan  
Address: Subotica, Istočni Vinogradi 207/A

## Official person

Handwritten signature: [illegible]  
Function noted by hand: registrar

## Seals

The scanned pages bear round archival stamps of the Historical Archive of the City of Novi Sad.  
The first page of this form also shows an archival stamp from the Historical Archive in Senta / Zenta.

## OCR / reading note

This is a conservative transcription/translation based on a damaged scan. The documentary difference inside the same PDF is material:

- in the Subotica / Palić form, the listed children are Roži, Iren, and Ištvan
- in the later Novi Sad form, there is a handwritten addition: minor Miletić Milivoj, son — guardian: attorney Lisica Miloš