STATE OF MASSACHUSETTS File No.

STATE BOARD OF HEALTH 1642518240

CERTIFICATE OF DEATH

01. PLACE OF DEATH: 02. NAME OF DECEASED: 03. SEX:

Boston, MA Mahmud Hasan Rubel M
04. COLOR OR RACE: 05. MARITAL STATUS: 06. DATE OF BIRTH:
Caucasian Married 2022-01-18
07. OCCUPATION: 08. BIRTHPLACE: 09. DATE OF DEATH:
Employed Boston, MA 2022-01-17
10. PLACE OF BURIAL: 11. UNDERTAKER:
Dhaka Bangladesh Mark. w