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tville Read • Briarcliff Manor, N.Y. 10510 71.41 Cooper Avenue - Glendale, N.Y. 11305 160 Perk AVOTWO •
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
sRetying Road • Bdorcilff Manor, N.Y. 10510 7141 Cooper Avenue • Glendale, N.Y. 11385 168 Pork Avenue •
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")
tvIlle Road - Briarcliff Manor, N.Y. 10510 71.41 Cooper Avenue • Glendale, MY. 11315 155 Park Avenue • Y
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
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