Bennett, Howard �p+n U.S. Department of State
REPORT OF DEATH OF A U.S. CITIZEN OR U.S. NON-CITIZEN NATIONAL ABROAD
U.S.Consulate General,Barcelona, Spain 03-27-2014
Post Date of Issue (mm-dd-yyyy)
SSA No. 213-28-0571
Name in full Howard Curtis BENNETT Age 92
Date(mm-dd-yyyy)and Place of Birth 07-05-1921 Kuling Kiangsi, China
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Evidence of U.S.Citizenship Regular Passport#425790125 Issued on May 25,2007
Address in U.S.A. 7 Terrace Pl.,Troy,NY 12180
CD H
Permanent or Temporary Address Abroad Pasaje del Mercat,24 El Prat de Llobregat, Spain
Date of death Mar 22 15 20 2014
Month Day Hour Minute Year
Place of death Centre Socisanitari Palau Barcelona pain
Number and street,or Hospital/hotel City Country
Cause of death Under Spanish Law,cause of death is not stipulated on death certificates. Order of June 6, 1994
Including authority for statement-if physician,include full name and official title,if any.
Disposition of the remains Cremated and returned to the U.S.for burial at the Selleck-Bennett family plot of the O
Pine View Cemetery in Glenn Falls,NY.
Local law governing disinterment of remains provides that n/a
Disposition of the effects To be shipped to Mr.Richard E.Moot,Esq.Co-Executor of Mr.Bennett's Will
Person or official responsible for custody of effects and accounting therefore Mr.Richard E.Moot,Esq.
Traveling/residing abroad with relatives or friends as follows:
NAME ADDRESS
Informed by telegram or telephone DATE(mm-dd-yyyy) n
NAME ADDRESS NOTIFIED a
Copy of this report sent to: DATE(mm-dd-yyyy)
NAME ADDRESS SENT
Richard E. Moot Avant Building,200 Delaware Ave.,Suite 1200 Buffalo,NY 03-31-2014
Notification or copy sent to Federal Agencies: SSA x VA CSC Other
State Agency
The original copy of this document and information concerning the effects are being placed in the permanent files of the U.S.
Department of State,Washington,DC 20520.
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Remarks: 1)U.S.Passport#425790125 iss 05/25/2007,USA,cancelled and returned to Richard E.Moot,Esq.;2)Official t'
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Spanish death cert.issued by Barcelona Civil Registry,Barcelona,Spain(Rec. Sect. 3,Vol. 1516,Page 115) o
(Continue on reverse if necessary.) �+
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[SEAL] Signature on all copies.
Mark R.Mineo of the United States of America.
Consul
DS-2060 (For»mrlyO -/80) For Additional Certified Copies,see http://travel.state.gov/passport/facilfao 5057.html
11-2012