ility Decedent's residence DATE AND HOUR OF DEATH: 08/10/2019 7:36 AM Jnk INJURY: Cote Time: AN PM AT wOR< YES _ NO TYPE OF PLACE:IN:me, Stmet, etc./ LOCATION: HOW INJURY OCCURRED: IF TRANSPORTATION INJURY: 0 DRIVE VOPERATOR 0 PEDESTRIAN C PASSENGER J OTHER, SPECIFY IF FEMALE: U N