_ �,a�'�1�6�'/,�(.__^ �[1"�1. s `� "�°�
<br />h� -
<br />�.�`�%� ��ar�r� i �,� 94 �� YNr�l���u�d�l��1 �
<br />��.�.��n� � C O U N TY C� ��3 R �4 N� E ����:� —� �= �
<br />HEALTH: CARE AGENCY
<br />� �
<br />- �.�;�� ���.� .-
<br />��� �
<br />-.
<br />� 1�00 N, MAIN STREET su�TE � oo-�, � a:12 U 4 t� 3; � ,.`
<br />"�„�""� SANTA ANA, CA 9270� �. �.
<br />--- - -
<br />� .0�i . . : . . .. . . . _ .�n;
<br />-aiZAi . -.. � . � - . � . . . �I�::x
<br />�� 305207i12037$3 CERTIFlC DEATH 3201030075819 . �
<br />�..acc� � . eweraEen.me� . : � �� � -. usFainaeuwuc. ,.. oau�vas �ocu �, . � � � � � �--.--
<br />� �.��':� ' .I.N�OF .�'M-Fl16fRA�ai1 �. . 2ea0ub , . ... � . � � �"--
<br />,�� , �ncrc wi�uR . ouKEs
<br />� � � ataasoiu+ow�tas:mmuaem�awo-'wer.�eweil ��� aop�ocBPm+m�ramoarr eu�r�a �- . � a� �..�. t �c. ��-
<br />u
<br />Gar,c�ffi � _ 11/28/7920 . 88 , ; °i Ndi j � M ....�
<br />aecm�ew¢mo�m+�tenm iaw�v�e�rnw�n ii.e�wuanw�en�w�sr Wwww.wmmremaroa +.muES�axmnme� a. G+�u �
<br />--- y '� MO 547-50-8257 QX �e � w[] uwc MAFiRIED 11/18/2t110 ` 1035 st&
<br />41� � ,.R�ICNIR/-Ky�IL�VDVje/ 1YI6WlSOfiC�FMX6PA�17AIM1rai4balmbd0 1&OR�Hif9RFC6-Wbe�imYbL#eEfmaWeqwbm0 ��j �
<br />.' (s�onWnYW4t3p . .
<br />�= HSGRAPUA'CE �`'� �"° WHITE
<br />SR1Nflh � n.IBUMLOR�ALOtl'-.T/Veafwocbmmldtll. Af1Tit89� �� 1&IWOOYB�O�.P�SIIM(Wa9oiWYU41ok��4�A�N 18.TPAXBP/OCOWAYION _.
<br />�� FISCAL NFANIIGEMENT OFFICER CALIFORNfA UNI�lER51TY SYSTEM 25 - �
<br />- �_�n eaa�e+ra��ma:�o.coem,S . -: � �� � . . � . . .. � . .. _ � _:
<br />� 2382 ANA TREE PL. �E3a -
<br />�'Gd18"i �: � � sucm �- as.oaw�rmX0lmaS � sa7RwoE � ear�imwaawrr� ee.smewl�Canvmr . .. __
<br />... . �� .7USTtN ::_ ORANGE 92780 55 _:
<br />, CA
<br />aseaaw�'swure.�auxsww �'� �.� vwr mrve.u.ao.�am� - ��� �Bg�.__.
<br />! �� JANIGE CONN DUKE$. WIFP _ �.,�� I�N, CA 9�/�` u
<br />�-; � -, . .. ��." _
<br />_. �
<br />� _ � _ - ,.:�
<br />� � JMFIG ��� � I�l� ` N ' CO�iN��
<br />�acaaar . � D,,Uf4E$� - `e .
<br />Yrp; s�.nn.maria�+r.co�r �, C,� �r.rmne � � . - yi.f�er . . saewmewe �� �rr .�
<br />lruc � HARRY � u � - q, � � '��` � i �;S � ` � � � MO
<br />m.ewmeoa� s�
<br />4t -� - aRnrJlEIFwNN�Im�@1fiLisl � ��� � sLUm N�Mq � „=- � -
<br />au,�,a � � � G`L�tdN r° ; � � U ��J .�9' ..1�(.� itVJ�RE %� �T°�ti � MO �.��
<br />��'� °��°FP°"'�°�R°°p�111$HRYEN M�MIt)RWL PARt� � � . .
<br />�� Z02 FAIRHRVENk11YE.. 3ANTl�AMA. CA 92705 — �Q �
<br />%
<br />'�� � � BU � � > .zecwn,wgaF�_ � � ���� � � : � -- +au�wnm�+ -
<br />d "- �� -
<br />���2srza�o �
<br />- • �" ' � NIEKI 1�OBBS '- _ _ _ - a -^; � EEfu1M99019
<br />a,.mea��nsl� e � .
<br />� . _ �� u.nrs�cpawe+n�mroau�pd ... � ��1 F�� az�.'�N�WEp as . . oa _qqowm�n � �� ar.aus maaa�am _ �.
<br />, . . . � .., • , . . _. ' ��`� .
<br />� :.�. � � . �. PAIRF{A , EN tAOF21'(J�1RY," , ( ; i ; Fq�313 ► ERIC G: : D�ER, �tl'b �r�: ?� � 1fif28IZ090 `. � � __
<br />Y
<br />-�� . . . . _ � . ,m.rv � orm ,ro.�rmHm,�aa s eaeo.nv«m �� .. .
<br />aes - � � RE$IDENC�-HOSP,ICE ; � :i 'r�/: [Iw ' awa. , oon ; wm�, ,_ Q,� "�o� �� _
<br />�aratmsc -� �a.m�nr o t �cuanv on raNm .�e�e..a i -.:� ; . . -.
<br />- �� ORANC� . �.e ;, 23�'LAroA`_; EE P . I , . � :;' � ��: � �1�:
<br />�m. '.... ma� .: �mea�m � .� .mmknim.-ma�aiu�aea�mmnnr '. . aem, � m. . e� +mmux�mavmmmxo�m � aaa
<br />M�� a�wam aq�yrpu.oamku. vusawrgeneraws rormi ..
<br />�� oa��maeca� w CAR�TIE�, Pl'4LmSUNARk' ARR�ST� !`' 1 m,�' A�` ,- i [�X, � Q•�o. �� .
<br />' - , � M� U-0�8-OS
<br />_ ���° -� u � -
<br />�� �emw � �QAS . CRM1fCER rr " ` �_� . � - r��_ aa �veea""�'�
<br />� � Q
<br />�-
<br />� ` W
<br />�� � � �� �w�rs�e A�a, v. �� ` - ' � � = � u " , �� , wil t+awrtovarrawon�,am � _
<br />- .: : _ "'. � �q __.: — _
<br />�z ...� . .,- � � %':- - �: ❑� �� 38�_ �.
<br />�°vm° t:. � I i � ;.Arf iif.�tS�a�Om�1 .
<br />TT4��f� . . . � �m�a,pm°n )o��tasi� . �.�^ ` k �., i •,� �rm.:�� �pm� _ __ -
<br />' p� i1Y.0116i@@16tMlf O BIRNOT MI�C.TNB P11m L- � N.' � . . �
<br />_-� CHRONIC OBSTR�ICTIVE PULM�NARY DlS, ��BB $fQ 13';: 7 , � , �
<br />�� � � , : I( /� ��� � �'��� 4- � �
<br />- -- ���as.aomwia+vegav�wwavswr�ianw�e u»u�y+.mm.aad�me�emw � � nsarrawc�v�wartru�r�ao �..
<br />��� � ..;��d p =:r�7° r' 1��` i�.a,_'- . ❑v��L�no�ia�tt�� . ... -
<br />�miax�mnwvmne�rarrm�amaemonom�m +�a�nrmmiaaF � ne.�cwsemi.� nzo� �mrom
<br />gL �. �. . . ; � �dnmxtlUP,mUr,aNOPipESw�fiUN�moall�ewm F� . . . . . . SB �
<br />�„d,.,,�;m,� �,,,,„�,,,,, ►FRANK BADW W1:D. �/ A41546 11/24P2010
<br />� °° °�.'°°`°o,v : ; � .�'m & FRANK BADIN M D. :g�. -
<br />n lf3/04/2002 � 11118/2010 899.N TUSTIN 5TE #903, SANTA ANA, CA 92705
<br />__ 11&16RfFTTW4NNY0PWRi�RXOCCIYO�QTIFIGGt�Efd0RAG68W�A1W116G11gSBG1�.� : �-IW.WAtFDR11qIX9 � - t1i.P11WNMT6 141XWRR�Mm4. . --.-
<br />4
<br />�� �.:� � . m+v�+oFO�nnr� rmmm ❑'mra°� ❑ a'm° ❑ � ❑ � � ❑ r� ❑ w° ❑ apc � . . . _ ' _ � mm - _ - .
<br />� . � f7J�PtADE� : lAB�M�..wm�tid!ab�wameasasemy� � � � '
<br />�. r . pj : � :�. .� � ��. � . �� ._
<br />._�--° .: �..�.. . �'� . 9 'f8A.0�FWM➢WINYO�D0.?�end'mbt�M�ReQbYdu„ . � � � � '. . _. _�
<br />�?�_ �as�ararlCNUexmrc�u.+.�awabedawm�a..iaameia�Vl � � �
<br />� � �� . .. _ �� v.
<br />�wG =
<br />� :3F ffis.
<br />. �m�s . . .. . �.:: .-' . . .' ' . . � . . -.
<br />.rzr.won � � :: . '�.p,.�ylqiWEOF�fhA/OEMY 1m.�VE m�fJYu%/ 1A81198NN1�TIMQWPOl�IYU�YITCOR�EA . � .
<br />'�d�f�� � �. .' . . �. . _. . .. .'. ... ..�.- c.�.
<br />_ ._-_ '.. . �. .
<br />- . . -_ : : . .. �..:: ' '
<br />� ,:��.'. � ��.� . .... � .. , ._-
<br />_ . . . .��� A., '9_ ' C D: �.. _IiWU,UW��WII�� . ..������� PlYlAYI'IU I�TMCf..' '.�:. �.' � ... .R2�11.-.'...
<br />_
<br />.: � � . . �:.:� �' . . �.: . �.
<br />. . . . . . . . _. � ame,
<br />� �; _ _ ,, , � _ Q�C 0 3 20� ' 1� �I ��
<br />°- ` ,. � �'I�����iIV1���IW �_.- `
<br />��.�,� ` G�F�TIFIED COPY OF VITAL RECORDS .; ` ` 'w `
<br />-,_. _ 002830207 _��
<br />w� .�� ��� �n��11i1 .S�f�`�" �F G'A�.�4RI�E1 l DAT'E ISSUED ��y��--. f �� �_.
<br />�� � � t ss _�� ,�-=� �w�,
<br />� e • r COUNTY OF ORANGE ,� �
<br />��C : `' • ; F ` `� ; �z•� \ , �.
<br />���.' ,, °•`��, This is a true and exaCt reproduction of the document offlcialiy �Q Jl��� f� Q �' � N -._ . .
<br />,� � �
<br />� � � registered end plaoed on flle in the office of the VITAL RECORDS ' 1�� �
<br />�ra 2� �. . O �RANCi� CAUMTY, CALIFORMIA \ � !'�'�"�i i���Cit�
<br />8 m SEGTION, DRANG� COUMY HEALTH CAAE AGENCY.� � �
<br />.,� ,� i< S i s 'z����,�'�
<br />This co not`valid unless s ared pn �n raved border displayin �al �hd si nat�re of Re Istrar. . ��;' ����`� �.�•-�
<br />� t —_ — _.__ --_� __... � .v.._,�_ ��
<br />.��rm. e ��FnaN _ ���' r �r� -
<br />�,,, w PY PK' P 9 9 9 9
<br />' -
<br />r i�
<br />�wm._ � v�
<br />_ ��-_��.. _
<br />
|