Epstein Secrets

care in last 33 days 72 Yes No U Papitil in-pabent HeepiW ED/ outpatient U •losp COA C Other. specify: J J Nursing hone/long teem care Hospice rickey Decedent's residence DAM AND HOUR Of MAIM: 08/10/2019 7:36 AM Unk INJURY: Date Time: AM PM AT WORK J YES U NO TYPE OF PLACE:Irk

AL EXAMINER OF THE CITY OF NEW YORK STATE OF NEW YORK ) SS.: COUNTY OF NEW YORK ) CERTIFICATION AS A BUSINESS RECORD I have been delegated by Barbara A. Sampson, M.D.-Ph.D., Chief Medical Examiner, to certify and authenticate records of the Office of Chief Medical Examiner of the City of New York ("OCME") p

r: O Recent hospitalizations or travel: if yes, where and when: O Dentist name/address): O Tattoos or scars (e.g., old surgery), describe: 0 Any Hospice care in last 30 days? If so, where: High blood pressure Heart problems Diabetes Seizures Lung problems Tuberculosis Tobacco use Brain infecti

Field Office EFTA00063517 OFFICE OF CHIEF MEDICAL EXAMINER OF THE CITY OF NEW YORK CERTIFICATION AS A BUSINESS RECORD I have been delegated by Barbara A. Sampson, M.D.- Ph.D., Chief Medical Examiner, to certify and authenticate records of the Office of Chief Medical Examiner of the City of New York ("OCME")

last 93 days Yes ijb• No u NO U. 0 Hospital In-patient Hospital ED/outpatient Hoop DOA Other specify: u U U Nursing harnMong term care Hospice facity Decedents resktence DATE AND HOUR OF DEATH: 08/10/2019 7:36 AM u Unk INJURY: Date Time: AM PM AT WORK U YES U NO TYPE OF PIACE

ates of treatment: Signature /Yid flizil• Relationship e-A 42' Date EFTA00133111 • . EFTA00133112 NYC Office of Chief Medical Examiner Barbara A. Sampson, M.D.-Ph.D. Chief Medical Examiner Name of Decedent: Report Dale .4 Time: Place of Death: 421E 28th Street Medico-Legal investigations New Yak