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Dr. Wernicke Death Certificate


Please find attached a copy of the DEATH
Psychiatric Systems subcontractor no. 148616.
No surviving family.

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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