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202203288 <br />U.S. Department of State <br />REPORT OF DEATH OF A U.S. CITIZEN OR U.S. NON -CITIZEN NATIONAL ABROAD <br />Guadalajara, Jalisco, Mexico 12-14-2021 <br />Post Date of Issue (mtn-dd-yvvv) <br />SSA No. 541-21-8290 <br />Name in full Marcos Antonio VILLANUEVA SOTO <br />Date (mm-dd-yyyy) and Place of Birth 12-06-1967 Yurecuaro, Michoacan, Mexico <br />Age 53 <br />Evidence of U.S. Citizenship Certificate of Naturalization #34917498 issued on August 27, 2012 in Omaha, NE, U.S.A. <br />Address in U.S.A. 2275 E. Seedling Mile Rd., Grand Island, Nebraska 68801, United States of America <br />Permanent or Temporary Address Abroad Enrique Estrada 31, Colonia 1 De Mayo, Yurecuaro, Michoacan, Mexico <br />Date of death October 28 22 15 2021 <br />Month Day Hour Minute Year <br />Place of death Carretera La Piedad-Yurecuaro, Km 19.2 El Tequesquite, Yurecuaro, Michoacan Mexico <br />Number and street, or Hospital/ hotel City Country <br />Cause of death Trauma of the thorax caused by a vehicle accident, as stated by Dr. Oscar David Martinez Mendez. <br />Including authority for statement - if physician, include full name and official title, if any <br />Registration No. 7650976 <br />Disposition of the remains Buried in Municipal Cemetery in Yurecuaro, Michoacan, Mexico <br />Local law governing disinterment of remains provides that Remains may be disinterred after 6 years with permission of <br />local authorities. <br />Disposition of the effects In custody of wife, Ms. Josefma Barajas De Villanueva <br />Person or official responsible for custody of effects and accounting therefore Josefina Barajas De Villanueva <br />Traveling/residing abroad with relatives or friends as follows: <br />NAME ADDRESS <br />Maria Isabel Villanueva Soto / Sister Pedro Moreno 14, Col. 1 De Mayo, Yurecuaro, Michoacan MEX <br />Informed by telegram or telephone <br />NAME <br />ADDRESS <br />Copy of this report sent to: <br />NAME ADDRESS <br />Josefina Barajas De Villanueva ! Wife 2725 E. Seedling Mile Rd., Grand Island, NE USA68801 12/14/2021 <br />DATE Intnt-rid-.1113) <br />NOTIFIED <br />1)AfE (nnn-dci ;}y7.vi <br />• SENT <br />Notification or copy sent to Federal Agencies: SSA X VA OPM Other <br />State Agency <br />The original copy of this document and information concerning the effects are being placed in the permanent files of the U.S. <br />Department of State, Passport Vital Records Section, CA/PPT/ S/TO/RS/DO/MR, 1150 Passport Services PL, 6th Floor, Dulles, <br />VA 20189.1150 <br />• <br />Rno aika• "` x T <br />Death reported to this sulate on Nov/18/2021 and registered at the Yurecuaro, Michoacan Civil Registry Office No. 1, Book <br />6, CE``1 1> l of d�lo X323, S,Nov/03/2021 (Co timet r erse if necessan.l <br />DS -2060 (i orrire,tt Oh' -180) <br />02-2018 <br />Por Additional ('enified Copies, see <br />Signature on all copies <br />E. A. Amirato — Vice Consul of the United States of America. <br />CD <br />CD <br />1 <br />B <br />(Date (mm-dd-y )y) of death) <br />https://travel.statc.gov/content/travelien/intemational-traveliwhile-abroad/death-ahroad I .11 tin I <br />QLOS VA31]P4VTJIA <br />O!UO UV so3aeIN <br />