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raide C 0 Boulevard- Riverside Chapels 0 Boyd, Claude R. • Caratozzolo. Funeral 0 Boyd, Claude R.. Spencer Funeral Home 0 Burr- Davis • Sharpe 0 Campbell, Frank E.- Tho Funeral Chapel 0 Casey Funeral Home 0 Casey - McCallum - Rice 0 Cooke, Walter B.- Kennedy Funeral Home O DUndrea Brothers Funeral
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
en Schubert M), representing the firm of Frank E Campbell the Funeral Chapel, located at 1076 Madison Aven
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
O Riverside C O Boulevard- Riverside Chapels 0 Boyd, Claude R. lo Funeral 0 Boyd Claude R. • Spencer rumored Home O Burr • Davis - Sharpe 0 Campbell, Frank E.- The F Chapel O Casey Funeral Home O Casey • McCallum • Rico O Cooke, Walter B. Kennedy Funeral Home D'Andrea Brothers Funeral Home O
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
Entities connected to both Naomi Campbell and Hospice

Jeffrey Epstein
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Wilbur Ross
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