. .. I . ·.: ·2:M1DOLE'.tmz.vo.llnwd.net/o28/newsdesk/tmz_documents/Death...TODD E. FISHER, SON 28...

COUNTY OF LOS ANGELES'DEPARTMENT OF PUBLIC HEALTH . . \ . 3052016258287 . . . . •1, EŒCET-T, a,) MARY ., 3201619057895 ·.: ·2:M1LE'. . FRANC�S 3.T- ! A WN -- l"'AKAST, MI, T) REYNOJS 4. E BIRTH E y,_ 'IF - EYEꜲ - IF . O. 04/01/1932 84 I . DEBBIE REYNOLDS 11, �R U.S: ES1. 12. �ITSTAtd 7. OA�OEATH m TX D ®�-Di" DIVORCED : _ 12/28/2016 F 8, UR ,4 1739 � � 13.E-. �·.1)1�,WÞCໞNT�I?· .� ·• 1 •. ÞCíSE,;:to3may,'( . � __ . :-o . .. .. : . . C _ A . u . · . cAS . . IAN . .. . ..· . DOCTORATE S tXJ: -: .. . : . : : � i,�,.� u ��=�.� oo � N =- � - d i_=��-��=.,=,�=.ꝏ = = = � = . R = = �= o ==�, = •. = K = , N = o � = e ��=��i,=� - �- -��- ��-, �-�.-----�-��, -. �---.-.-��-,.- .�- ---� -�- --�- : - � � �� u �� ii i Ii !� h � ACTRESS 21. :. INFS E, REHIP TODD E. FISHER, SON 28�E SUVI RT 31, ME FAHE-J RAYMOND 35, E THE-FST MINNIE '. ÚTE � 01/06/2017 41. TE DI BU ENTERTAINMENT INDUSTRY . . 68 24. IN CO -�STATEOREI . )36 . NV ' CEDARS-SINAI . !! 'O™GELES 107. 11M F FE fl T ? D Y ꝏ D ' 1 � _ 8. LICE\JM� 117. _,s 1230/2016 w ,_ . c • · • ASMA MAHA'ASH MOHEET M.D. 12/28/2016 :12/28/2019 12·STH SAN-ICqNTELVD. #A6600, LOS ANGELES, CA·g048 111.1 H H RRAT;tli£ ÊTE, A F THE�� : :. :120. ǊUD ATWOR? . t21. IǊU ÚTE 16. R 4 'NêÏo D �o- D � 0 � · :: D 0 Du•• ..... 123. JU ,g., e, •, f 1� PE�E, \£0FCORONERJ�ONE . . ; AH.f .. · :1 11111111111 : • ro o o to 1 4 s N: -q 4

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Transcript of . .. I . ·.: ·2:M1DOLE'.tmz.vo.llnwd.net/o28/newsdesk/tmz_documents/Death...TODD E. FISHER, SON 28...

Page 1: . .. I . ·.: ·2:M1DOLE'.tmz.vo.llnwd.net/o28/newsdesk/tmz_documents/Death...TODD E. FISHER, SON 28 NAME Of SURVIVING SPOUSE/SRDP"-flAST 31, NAME Of. FA'THEM>ARENT-FIRSJ RAYMOND 35,

COUNTY OF LOS ANGELES'DEPARTMENT OF PUBLIC HEALTH .

. \ .

3052016258287 . . . .

•1, NAMEOFOECEOENT-FlRST, (GiYa,) MARY

3201619057895

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TX Di-tis ®�-Di.ii;" DIVORCED. :_ 12/28/2016

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1739 �

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26. INFORMANT'S NAME, RELATIONSHIP

TODD E. FISHER, SON 28�NAME Of SURVIVING SPOUSE/SRDP"-flAST

31, NAME Of. FA'THEM>ARENT-FIRSJ

RAYMOND 35, NAME Of MOTHER/PARENT-FIRST

MINNIE 39. OISPOSITTJN DATE �c:cyy

01/06/2017 41. TYPE OF DISPOSITION(S)

ENTERTAINMENT INDUSTRY . . 68

24. :tEAAS IN COUtlTY -�STATEIFOREIGN COUN1'HY

. )36 . NV '

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