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Death Certificate - Suetsugu, Ralph Toshio_11/4/1996STA7E OF NAWAII DE?AA7MENT OF HEAITN • ' OFFICEOFMEALTMSTATUSMONITORING CERTIFICATE OF DEATH L � STATE OVSiJO �� DECEASED-FlRST NAME NIDOLE NAAIE FlLE NO. � S� � �T �� �. SE% 1 OATE Of OEATM .y�wtK yi, Rn�� �P� TOSHIO SUETSUGU Ma1e � ...n.c , Occober 30, 1996 1, �0. IS aEqSpry pF SPIU115H OIi1GWi 5�_ eGE-LhSi 50. UnDEA � Tq. 5�. UNpEA 1 D� l.O�TE OF O�FTM �mPGK y�, ryp )�, COUMY OF DFAiH .lapanese .. V' ,a••"" °a'— �nm52 rt46 MOS O�R nW6 wa 3 ac� .��.� noe�4: l�-1.154(100FOFATM' ]O.GTY,TOWHOflLOUTIONOFOEATn� OCtober �$� 1944 Honolulu )c nOSpIT�1 OR OTMEii In5ilitiTlpN W.ME �e wp� wli�n[�. Grv! Srtel� u.0 w�.x�eO ]C.IF M0.5P pq iry51, �,�R Oahu " Honolulu Queen's Medical Center °C�°"""`"'"'°'+^„��, �. S:�TE OF B�HTX N��Oi m u.iw, v. ar¢� ov wr..v wu�rnr w. wqq�eo. ntveq u.�tp�¢o. ��_ wam INPATIENT w.+ec0a.:�T MOOwED.OiVORCEO�vlCp*1 WOSPWSEPweeerv2�v.awy..�� 42vua¢ea� Havaii U.S.A. �� Married Be[1 Hester Smith ��T���#6 ��'�„�' 11. SO�UI SECUli1tt NUNBEA 1N VSUAI CCC4G/�TION �GrvC KWp W wOpR ppME Wnv�G WSi �� 199t. I+..d, ) Ye s urclvErvire�pm� py �� �b.KIN00FBU5WES50qINpUSTqY/�� 1�c.EDUCAT10N�f:r� Anesthesiologist �`r Medical ServicesL�' E�ar�� '"°`°°'°' �L. PESiOENCE-ST�iE ue. eour�m �s� em. rwm. on �ov,rioe� ��.� �� fuf°� �Coll . 5t � 1S- M:MBER STREET ANO ZIP Havail . Honolulu Honolulu . ""1i6°�"°' Yes 201-B Paiko Drive 96821 �G.FAiMEq-Fl�TNAME' MIOOLENAUE LtqTNAME 1].4pTNEfl-FIliSTNAAIE Charles � Toshiyuki V�ODLElNNE �o�",,ME Suetsugu - Viole[ Yoshiko Suzuki 14wFOqN�MT-NWE . I�E.1MIl W G AOORES$ �5:11FET ql f p. pp4 GM1 M ipxM, SiwiL LV� Be[i Hester Suetsugu 201-B Paiko Drive, Honolulu, Hawaii 96821 �9�.8UR�AL,CpENAT10N,qEWVAL 190.CEMEfEqYOFCAEMATOPY-NAME � �9c lIX'.�TION OIT Q iOM1� Sl�tf Cremation Oahu Crema[ory � IiSOATE�CwMp�},Ry� 19�.PEqNITNUMBEA }L�,FLjNF}U�{�04E-NANE Honolulu, Hawaii 3GO_ R1NfAwl �i CTOM-31GNANNE November 4, 1996 �(lp HOSOI GARDEN MORTUaRY, INC. �,���V '` 41a�T' rty Cut al my 1n wfq�. aa�N o¢�na0 �t Eme. a�b �eq Oye� +M au b Va E�. On uw Wu al �my���bn u�WOr InvefY � ( 1 fq UICWIiII(� Itl �ib GfGfIM� M (I(afM1f �i10 YAYQfI �1TC �t1�1� G4C� Ytl Cw b[I� 0 Q�WI. N f.lY OMCII CYN O¢`mV11� L'M IY:�O. G�t� Ytl Y � f3�na n��na T�wl� n �J �/, SW �a •n«� �npk�wl ��1 �M cimima�nw �ien aa a.unDaa wb. yiemu �IIn vuwqn rZ1p ii . QF /J7)K—,C ,.a.iv!_. y�� rms�.w..�erm.i� �Oj t�e. OwiE yGNED N� .�� 1 21C. T F Of.�iry T'!3 �a 3]P MTF LGNEO yx0� Y,�. ill Tlc. TIME OF OEATH „:€ //— / — � � � � „ s�� E� }la. NNIE OF ATTFNOWG PNYSICIAN If OTNFA T14N (iq}IFIEq �itH p/eM� �. Z IIi PqONOUNCFD OFAp IMO.. OAY. Vfl.l ?S�. PflONOUHCED DFAO iYl� FW �S V 1]. NwE AND �DOfiESS OF CEAi1FiEP IHIYSICUK YEOiGI IX,WiNER OX CCflOMEti) Inrt 0� Iq+n � .t Raymond K. Itagaki, M.D., 1329 Lusitana S[reet, Suite 609, Honolulu, Hawaii 96813 �ti �Si�eU�pE.. ^'�� Nn D�iE XECENm BY tpGLL REGLSiq/�q , ZK. p,�TE FlLEO Br Si�TE PFuLSiMq � �� '�� NOV 4� NOV 4� �� PART I. OFaM W�S CwUSED 0Y: EHiEA ONLT CrvE CwUSE PEP �WE fOR 1�). (01. /�D (cl �w¢�uwu wnwu IMMEDI�TEL�USE m ����� LiS'f'e��� !v(or,occ z. canoinorn. ir r,nr. � wsr � wHS e+.c[ oF: MMIGiGAVER�SETO "�GfYTZ ���� ` �-�CIC IuYEDIATE GUSE p�, � ��� '� "'1' " 57�TIN0 TME UNOEfl- pUE T0, ORA4 A CQe�SEWENCE OF: lYWO W15ELlST ,�� G�vo,�, � .LY, n,,,, .,,^. � . n.�«. I�� ttS �� rp� I , })�. LO(aTK11(SiIR2i C� V.O. Kl. J zrwrt� � �.sie �r � � . ��u,rti >� /Il� �'fe �F INJIIRY na. n �l'/J r+sioe3eo w USE OF OEAi �L. I'CERTIFY TNI515 A T.�UE COPY OR BSLR.eCT•OF THE RECORD ON FILE�N f�0'J ! 5 7996 :.e H..�v.or. �Tn-r. e-r:.-;?„�c:aT oF rien�7Ft QlLtrtiv.� T C�,�ac'�-,'r h.D. S7q7E REGIS7R,iq