[Boutique] widowed proof

Article 1: Widowed proof

XX, home _________________, ID number _____________, original spouse ________, ID number __________, died in ________________________. The situation is true, hereby prove!

XX Public Security Bureau

Article 2: Widowed proof

The wife of a certain department is succumbing to death for some reason in a certain month of the year.

Certain

a certain day of the month

Certain police station

a certain day of the month