Age: 50
Place of Birth: Mexico, D.F.
Occupation: Administrator of Empresas
home: Palmas 800-1501, L. De Chapultepec Miguel Hidalgo
Deceased Civil State:
Civil State Spouse:
Casado Con Ofelia Anton Gomez
Name of the Father:
Rafael Gonzalez LaMadrid
Name of the Mother:
Luz Esperanza Calvillo Aza
Death Of:
The body will be: Cremado (cremated)
Located in: Mexico Tacuba 5/N, Nueva Argentina, Miguel Hidaldo, D.F.
order No.: 02362
Date of Death: 20 June 1998
Time: 2:40
cause of death that certifies: Glioblastoma Multiforme. (Brain Tumor)
Medical Doctor: Sergio Cortes Ocampo
Home of Doctor: Santa Teresa 1055-151, D.F.
Declarant:
Name: Jaime Rodriquez Perez
Kinship with the deceased: None
Home: Rosas Moreno 151, San Rafael, D.F.
Home Witnesses:
Name: Demetrio Licona Solis
Kinship with the deceased: None
Home: Rosas Moreno 151, San Rafael, D.F.
Name: Sergio Nieto Enciso
kinship with the deceased: None
Home: Rosas Moreno 151, San Rafael, D.F.
Ubicado En: Mexico Tacuba s/N, Nueva Argentina, M. Hidaldo, DF.
GS Film number: 002244619
Digital Folder Number: 004981816
Image Number: 01844
Age: 50
Place of Birth: Mexico, D.F.
Occupation: Administrator of Empresas
home: Palmas 800-1501, L. De Chapultepec Miguel Hidalgo
Deceased Civil State:
Civil State Spouse:
Casado Con Ofelia Anton Gomez
Name of the Father:
Rafael Gonzalez LaMadrid
Name of the Mother:
Luz Esperanza Calvillo Aza
Death Of:
The body will be: Cremado (cremated)
Located in: Mexico Tacuba 5/N, Nueva Argentina, Miguel Hidaldo, D.F.
order No.: 02362
Date of Death: 20 June 1998
Time: 2:40
cause of death that certifies: Glioblastoma Multiforme. (Brain Tumor)
Medical Doctor: Sergio Cortes Ocampo
Home of Doctor: Santa Teresa 1055-151, D.F.
Declarant:
Name: Jaime Rodriquez Perez
Kinship with the deceased: None
Home: Rosas Moreno 151, San Rafael, D.F.
Home Witnesses:
Name: Demetrio Licona Solis
Kinship with the deceased: None
Home: Rosas Moreno 151, San Rafael, D.F.
Name: Sergio Nieto Enciso
kinship with the deceased: None
Home: Rosas Moreno 151, San Rafael, D.F.
Ubicado En: Mexico Tacuba s/N, Nueva Argentina, M. Hidaldo, DF.
GS Film number: 002244619
Digital Folder Number: 004981816
Image Number: 01844
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