EFTA00130097

DEPARTMENT OF HEALTH AND MENTAL HYGIENE

OFFICE OF CHIEF MEDICAL EXAMINER
520 First Avenue, New York, NY 10023
Official Website: www.nyc.gov/ocme

Barbara A. Sampson, M.D.-Ph.D,
Chief Medical Examiner



Documented By: Driver’s License

## State that:

I am the Brother of the person whose body was removed to the Office of Chief Medical Examiner from 170 William Street, New York, NY 10038 on 08/10/2019, that I have seen the photo of the said deceased, and believe that the body recorded at said office as:

Epstein, Jeffery

<table><thead><tr><th>Of Age: 66 Years</th><th>Race: White</th><th>Sex: Male</th></tr></thead></table>

Is:

Epstein, Jeffrey Edward

9 East 71st Street, (Cross Street: Madison Avenue/5 Avenue), New York, NY 10021

Printed on 8/11/2019 at 10:46 AM by

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