Peachman, Alvin C. : � CERTIFICATE OF DEATH
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STATE OF HAWAII ;. ��6 Asap,�'-t,, CERTIFICATE NO.151 2020 - 010735 --;
'''- DEPARTMENT OF HEALTH ' .
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'• -:' AKA: Alvin C. Peachman,Alvin Peachman
• Name of Decedent ,
ALVIN CHARLES PEACHMAN
" City.Town or Location of Death County of Death Island of Death „,,
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Waianae HONOLULU OAHU '
. ; Actual or Presumed Date of Death Actual or Presumed Time of Death Date of Birth Age at Death
November 17,2020 3:15 AM March 25, 1922 98 YEAR(s)
S' Sex Race Citizenshio Ever in Armed Forces? `
MALE German/Hungarian UNITED STATES YES
Social Security Number Marital Status ,? t
196-18-1432 WIDOWER)
Fathers Name Mothers Name(Prior to First Marriage)
* '- Alvin Peachman Pauline Erzal , _
"a 1
CREMATION Cemetery/Crematory: MILILANI MEMORIAL PARK
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Date: December 9, 2020 Location: Waipahu, HI 96797
� `�'�' Permit#:245843
Funeral Home: MILILANI MEMORIAL PARK&MORTUARY
s certifier: Naomi Morita PRIVATE PHYSICIAN {
:-• Date Certified: November 24,2020 Original Date Certified: November 24, 2020 ;-
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Cause of Death: ��
a. ischemic cardiomyopathy with combined systolic and diastolic heart failure Interval:1 year v
b. coronary artery disease Interval:over a year .
c. hypertension Interval:multiple years
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Part II: severe dysphagia
Manner of Death: NATURAL CAUSES
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-, Date Filed by State Registrar: December 3,2020 �
OHSM 1.2 (Rev.1r2013) This copy serves as prima facie evidence of the fact of death In any court proceeding. (HRS 338-13(b4,338-18] 1275ate ,?
ANY ALTERATIONS INVALIDATE THIS CERTIFICATE
Peachman
NAME Alvin C Peachman \ Age: 98
Lot Owner: Alvin C. Peachman
Lot# Erie 8C Grave# 1
Case: Urn
Died: 1 1 /1 7/2020 Interred /1 /2021
Funeral Home: Millani Memorial Park & Mortuary
Honolulu
Cemetery: pine View