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Dr. Wernicke Death Certificate

Content

Please find attached a copy of the DEATH
CERTIFICATE for RUDOLF G. WERNICKE, Murkoff
Psychiatric Systems subcontractor no. 148616.
No surviving family.

STATE OF COLORADO
hold to light to view watermark
File No. 8732
Place: Colorado
Town or City: Mount Massive Preserve
Full Name: Rudolf Gustav Wernicke
Length of residence in city or town where death
occurred: 0 Years, 7 months
How long in U.S., if of foreign birth: 55 years
Sex: Male
Color or Race: White
Single, Married, Widowed, or Divorced (write
the word): Single.
Date of Birth: October 20, 1918
Birthplace: Germany
Date of Death: February 28, 2009

I hereby certify: that I attended deceased from June 4, 2003 to February 28, 2009 that I saw him alive on February 27, 2009, that death occurred on the date stated above at 4:11 AM.

The principal cause of death and related causes of importance were as follows: "Heart failure due to advanced age." THIS IS TO CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF THE OFFICIAL RECORD

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