76318-054 DOD DOB 1953 Sex Male Race White Male Institution/Region MCC New York - Northeast Region Care Level Care Level-1 MH Care Level Carel-MH Preliminary Cause of Death Alleged Suicide Location of Death (Q) Institution (0) Other: (I) Community Hospital TYPE OF DEATH: n n Natural Ho

19 DOB January 01, 1953 Sex Male Race White Male Institution/Region MCC New York - Northeast Region Care Level Care Level-1 MH Care Level Carel-MH Preliminary Cause of Death Alleged Suicide Location of Death (C]) Institution (/) Community Hospital (II) Other: TYPE OF DEATH: n n Natural Q

19 DOB January 01, 1953 Sex Male Race White Male Institution/Region MCC New York - Northeast Region Care Level Care Level-1 NH Care Level Carel-MH Preliminary Cause of Death Alleged Suicide Location of Death ([3) Institution (ED) Community Hospital (❑) Other: TYPE OF DEATH: n Natural Suic

19 DOB January 01, 1953 Sex Male Race White Male Institution/Region MCC New York - Northeast Region Care Level Care Level-1 MR Care Level Carel-MH Preliminary Cause of Death Alleged Suicide Location of Death (p) Institution (/) Community Hospital (CD) Other: TYPE OF DEATH: Natural Suicide

19 DOB January 01, 1953 Sex Male Race White Male Institution/Region MCC New York - Northeast Region Care Level Care Level-1 MH Care Level Carel-MH Preliminary Cause of Death Alleged Suicide Location of Death (II) Institution (I) Community Hospital (ED) Other: TYPE OF DEATH: n Natural Hom