Ryan William Greene Certified Image of Death Certificate (1
VIRGIN ISLANDS OF THE UNITED STATES DPNR-CCZP ._ 302 TY DEPARTMENT OF HEALTH f— 153-22-000302 ER a TYPE, OR PRINT IN “LOCAL. FILE NUMBER CERTIFICATE OF DEATH STATE FILE NUMBER ED fe) PRMANENT UNK / DECEASED — NAME FIRST MIDDLE LAST SEX DATE OF DEATH ( MONTH, Day, YEAR) SHE HANDS00K: FOR Te INSTRUCTIONS «=f, Ryan William Greene , Male |, October 16, 2022 RACE AGE. UNDER | YEAR UNDER 1 DAY DATE OF BIRTH COUNTY OF DEATH . MOS, | DAYS | HOURS IN. ,. White » 0 |, be |, Dec. 16,1971 |, St. Thomas a CITY, TOWN, OR LOCATION OF DEATH | Pra 3c regina HOSPITAL OR OTHER INSTITUTION —NAME <r ae IN EITHER. GIVE STREET AND NUMBFR } a a2 z | CoaSton ;, Charlotte Amalie _ ya, Peterborg Via Little Magens od = — - — —— ra} a a ca * STATE OF BIRTH (IF Not IN U.S.a., MAME/CITIZEN OF WHAT COUNTRY MARRIED, NEVER MARRIED, SURVIVING SPOUSE ¢if WIFE, GIVE MAIDEN NAME) ww 8 oy WIDOWED, DIVORCED ¢ sreciry) 5 aA 2 — wat Reswence | 8 Fort Worth, TX s US haMarried but separted |». N/A 3 . 3} 5 VED. …
Download the original document · Plain text (TXT) · Browse the archive · How this archive works
Original source: https://legvi.org/committeemeetings/Zoning/Bill%2036-0033%20%20STT-CCZP0153-24/5b.%20Ryan%20Greene%20Death%20Certificate.pdf
SHA-256 c6f1623a12c00784725c1c3c82a8334a6faa77f71e0c2c66058669829d630a87
Re-using this document
A proceeding of the Legislature of the Virgin Islands, open to the public under 3 V.I.C. § 881, which reaches any committee of any branch of government and permits the news media to publish what it records.
Our description, tagging, arrangement, extracted text and machine transcripts are released under CC0 1.0. We assert nothing about the document itself.
Archive identifier LF-c6f1623a12c0
Document text
VIRGIN ISLANDS OF THE UNITED STATES DPNR-CCZP ._ 302 TY DEPARTMENT OF HEALTH f— 153-22-000302 ER a TYPE, OR PRINT IN “LOCAL. FILE NUMBER CERTIFICATE OF DEATH STATE FILE NUMBER ED fe) PRMANENT UNK / DECEASED — NAME FIRST MIDDLE LAST SEX DATE OF DEATH ( MONTH, Day, YEAR) SHE HANDS00K: FOR Te INSTRUCTIONS «=f, Ryan William Greene , Male |, October 16, 2022 RACE AGE. UNDER | YEAR UNDER 1 DAY DATE OF BIRTH COUNTY OF DEATH . MOS, | DAYS | HOURS IN. ,. White » 0 |, be |, Dec. 16,1971 |, St. Thomas a CITY, TOWN, OR LOCATION OF DEATH | Pra 3c regina HOSPITAL OR OTHER INSTITUTION —NAME <r ae IN EITHER. GIVE STREET AND NUMBFR } a a2 z | CoaSton ;, Charlotte Amalie _ ya, Peterborg Via Little Magens od = — - — —— ra} a a ca * STATE OF BIRTH (IF Not IN U.S.a., MAME/CITIZEN OF WHAT COUNTRY MARRIED, NEVER MARRIED, SURVIVING SPOUSE ¢if WIFE, GIVE MAIDEN NAME) ww 8 oy WIDOWED, DIVORCED ¢ sreciry) 5 aA 2 — wat Reswence | 8 Fort Worth, TX s US haMarried but separted |». N/A 3 . 3} 5 VED. gd DEATH SOCIAL SECURITY NUMBER USUAL OCCUPATION {GIVE KIND OF WORK DONE CURING MOST.OF [KIND OF BUSINESS OR INDUSTRY CURRED IN 2 Pe, = INSTELUTION, GIVE 451-79-6647 Lawyer Law Office a Secon ee RESIDENCE BEFORE 12. 130 13b 2 & w“ ADMISSION. RESIDENCE— STATE COUNTY CITY, TOWN, OR LOCATION: INSIDE City LimiTs [STREET AND NUMBER o + . PECIFY YES OR NO o SW c| & <p v4 USVI w ot. Thomas |, Charlotte Amalie ieee: 15 B Norre Gade +4 Fs Y S = FATHER —NAME Finst MIDDLE tast | MOTHER— MAIDEN NAME First MIDDLE Last 3s £3 < Richard Greene ‘i Karen Dodson =} q 2 £. ee = INFORMANT—NAME . MAILING ADDRESS ISTAEET OR R.F.D. NO., CITY OR TOWN, STATE, ZPP} SE ae Kelly Tepera 3908 Sagamore Hill Ct. Plano, TX 75025 ) o 9 EB 5 (PART I. - DEATH WAS CAUSED BY: [ENTER ONLY ONE CAUSE PER LINE FOR (0), (b), AND (<)] Setdtete ONEET ant Gest & f yd ow 18. IMMEDIATE CAUSE : 3 s 2 D , rowning 2 8 O-@ lo) 2 ’ & EB 2 |g s ¢ cowomrions, wants [iy e 5 z ea stating aie UNoeK: DUE TO, OR AS A CONSEQUENCE OF: — = N - 2 5 28| qm © o o}]o = PART |t. OTHER SIGNIFICANT CONDITIONS: CONDITIONS CONTRIBUTING TO DEATH GUT NOT @ELATED TO CAUSE GIVEN IN PART | io! ” AUTOPSY IF YES WERE FINDINGS CON- 5 8 3 & Y po DETEQMINING CAUSE F SI = 1w, YES 19b Yes ce) 8 aS eae JOATE OF INJ URY (MONTH, OAY, YEAR) [HOUR HOW INJURY OCCURRED ( ENTER NATURE OF INJURY IN PART | O8 PART II, ITEM 18) 2 a 3 Xe 20 Accident on, October 16, 2022 wm: 1808 4 |r Drowning a] = ar 2 = INJURY AT WORK PLACE OF INJURY LOCATION ( STREET ON BLF,D. NO., CITY OR TOWN, STATE} = = FS Fs es L 2», No 201. Magens Bay Beach a;. Magens Bay Beach-Petersborg St. Thomas, VI By = °o 8 D ( CERTIFICATION— MONTH DAY YEAR | MONTH DAY YEAR AND LAST SAW HIM/HER ALIVE ON |) 010/010 NOT VIEW THE] DEATH OCCURRED al THE PLACE, ON THE E S 3 | 5 CTA 1 MONTH DAY —-YEAR-—s| BODY AFTER DEATH. (HOUR) DATE, AnD, To TAE BES) [aa fl ok Qo. DECEASED FROM tm : 2c. 2d. 2le. M. TO. THE CAUSES! STATED. be 3 BoA f CERTIFIER | pene OCCURRED ON THE DATE AND DUE TO THE CAUSE(S) STATED. ; me October 1 6, 2022 1808 , a = CERTIFIER— NAME (TYPE OR PRINT SIGNATURE ; DEGALE OR TIME DATE SIGNED imOntn, DAY, ¥EART S 4 tbe Tanicisco Landron a, /s/ Francisco J. Landron MD rx. October 25, 2022 w 89 234. Schneider Regional Medical Center St. Thomas, Virgin Islands 00802 > Ei BURIAL, CREMATION, REMOVAL CEMETERY OR CREMATORY—NAME LOCATION co 2 Mc. Cremation a, !umbull's Funeral Home & Crematory |,,. St. Thomas, Virgin Islands TT x, P BURIAL = BONG FUNERAL HOME—NAME AND ADDRESS > oO 24d. 0 Turnbull's Funeral Hot Home & Crematory 3815 Crown Bay # 10 St. Thomas, VI 00802 ig ti N FUNERAL cane pared Gumb REGISTRAR —SIGNATURE DATE RECEIVED BY LOCAL @FGisTear O E Dy A 25h, s/ Judith Gumbs 2bo. /s/ Lorraine Benjamin-Matthew ub, October 27, 2022 L ra Oo —