Preview
FILED: NEW YORK COUNTY CLERK 01/05/2023 04:16 PM INDEX NO. 190002/2023
NYSCEF DOC. NO. 4 RECEIVED NYSCEF: 01/05/2023
EXHIBIT B
FILED: NEW YORK COUNTY CLERK 01/05/2023 04:16 PM INDEX NO. 190002/2023
~
NYSCEF DOC. NO. 4 RECEIVED
Registration Number:
NYSCEF: 2021 012009
01/05/2023
Certified A True Numero d'enregistrement : PAG E 1 of 2
on file at the
Photostatic Ottice of the Registrar General
~
Print of a Record Ontario, Canada P4346539
Certificate number:
Numero du certificat :
Ontario Date issued:
Date de delivrance : Mar 26 2021
Photocopie certifiee
Ottice of the Registrar General se trouvant dans les dossiers du
conforme d'un document
Bureau du registraire general Bureau du registraire general File number: 01861048-01-8
(Ontario) Canada Numero de dossier :
Mlnltt,y cl Governmont
Statement of Death
l>'ontario Service Ontario and CollSUIMf Servlee.s
Form 15
Office of lhe Regi&trar Generm
Note: form 7 lllllSf be cor'l)lefed for sti1Jbir1hs. Thb is a pennanenl teoal le(Ofd.
Please PRINT de.,,,, in blue or bllld< ink.
Information About the Deceased
1. Last Name ot SnQle Name 2. last name or single name al Ume of birth
Al Saad Al Saad ·
3. Fin.I and middle names Any other names u~ed Sex (Mor F)
Newal Nowal Female
4. Dale or ~•lh '.nr,lmrrlod) 6, City ahd provInca wl\orA born (If outsllaw
First and middle name
Fira6,
14. 'Type ol business Of indv61ry that l"8 d.-.ed - d iO rn~ ol~rlli'l9 DI&
Education
15. Decea,ed's usualre>idenoe (f.lleel n•fl'bet and.,.,..,, o)', provi/loe, p"'1al oodt (do not .., po,t offiC8 b.,. orNr.al rnur.))
60 Bates Way,Mal1i
cl) •
60 Bates Way, Markham, Ontario, L6C 1R7 .1 2021/03/26
To b e Completed Only by t he Funeral Director or Pen;on(s) In Charge of Remains
28. lype ol di6po6llion (bu,'fal. cremaUcn or ij ollienpocily) 211. ~ dale or ': ptu'""""• pi,otal code)
S2E3
36. Dale /;(ffllmm/"4)
36. Buoiness code number
648 2021103/26
Fo, Iii• uso ol\he Offiw of tho R"l!islrar Genenl only
11190£ (2017/D:1)
OQueeri'a: PMttf f0t On.tarlo, 2017Oi5poriiblc. en &-an~ Pa.ge 1 of2
-·
FILED: NEW YORK COUNTY CLERK 01/05/2023 04:16 PM INDEX NO. 190002/2023
2021 012009
~
NYSCEF DOC. NO. 4 Registration Number:
RECEIVED NYSCEF: 01/05/2023
Certified A True Numero d'enregistrement · PAGE 2 of 2
on flle at the
Photostatic Office of the Registrar General Cert1flca1e number-
~
Print of a Record Ontario, Canada P43465~8
Numero du certificat
Ontario Date issued· Mar 26 2021
Photocopie certifiee Date de delivrance :
Office of the Registrar General se trouvant dans Jes dossiers du
conforme d'un document
Bureau du registraire general Bureau du registraire general File number: 01861048-01-8
(Ontario) Canada Numero de dossier :
Ollleeolth• Medical Certificate of
OntarioG Service Ontario Rt11ietnr Genonl
Death• Form 16
I
Nola: Fom, 8 must be eornpletlld for alll~rlha. Th s rorm must be tXlffll)!eted ~ the attending
Offloo Uta On~
phy1iclan, COIOflCII or RN(EC) befo11 a burial permM can be issued. !'lease PRINT cleelly In
blue or black Ink at it is a pt(man,m legal reoord .
Information About the Deceased
1. lMl-orWG19ne.me 2 91tte af d 1th o-mtnunldd)
~L c;AA.'D ~GI 03 24 .
l. Su 0 ~1d:lt.,..
F I
11f'lsoe of detth (nlWIICI af faci ty otloc:allon)
~OVNT S, tJ ,, hO'>P\ TAL ~ â–¡ I.Ong
L:.J Hoeplllll □ PYw••
_,.,., centRelldenceD 01tte<
(tpeaty)
10. Clly, town, lllbga or lo...,.h'p Re;ia,al 11U11Ctpal!y, county o; dlobtct
"foG?.a,.110
Cause of Death
......... IIIMI'...,.., .. .. ...................... ..
.. •. . .•. . .. . ..•••• •• •. .. • •.. ... ... •. . •. • •.• .. .... . ....... .... .... ... . • .. •.. .. •. .... .. .. •.. . ••
Anlacedeolt CIIUIU. I UV, (I,~
Undeffy
(Cl
~
c:a,m ol dealh
.. .,.......,..,
. . . . . . ........... . .... ······"· --·"·'"" .... .
1)
(Slalad ldl._ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _+ - - - - - - - - - - -
or,.,..,...._
Part 11
~ l o ... 4ulllu.
_,.,,1111
_nOlll'tOlll!tl!IIM~I
â–¡ ,..,
a...., o~.,~-
4.?d.,y,(ollowlng
of '"8,.irf
"'"
<119 .-.d ol ~
•• •
11,0lllon, INICafflqo. edO!liO
'"'M - I
1l. -11!•__.d
-- â– i...i,;lal'I
...- i o t
11. 0..01""-oltlulhalâ– lad.i.... tt. MlyM1nerW-..,onnil111.t,glollec.,...,._ bl_,lllt
_..,....,II'? Ovn QNo ? Ov. â–¡ No
T,._lio 20. lf-r,r, lw?. ToeoNTO ON M4M '2 SS .
To be Compllml by the DMalon RegitlAr
11'111111 -CIICINcu ol OUlli Mdll'llltecc,_-,dlng ~ ol Dlllll · - W1C1 Mlc:tlnl 111d I IQIIII 11J,.-,11e dial
Da!l~l,n1"ldlfl ll~n1mi. DIY r19,-,o.
~ 03 2b
Oa.-.'9P!Wlrb: 0rOllo, 201'
11291£(20!111'101
Preview
FILED: NEW YORK COUNTY CLERK 01/05/2023 04:16 PM INDEX NO. 190002/2023 NYSCEF DOC. NO. 4 RECEIVED NYSCEF: 01/05/2023 EXHIBIT B FILED: NEW YORK COUNTY CLERK 01/05/2023 04:16 PM INDEX NO. 190002/2023 ~ NYSCEF DOC. NO. 4 RECEIVED Registration Number: NYSCEF: 2021 012009 01/05/2023 Certified A True Numero d'enregistrement : PAG E 1 of 2 on file at the Photostatic Ottice of the Registrar General ~ Print of a Record Ontario, Canada P4346539 Certificate number: Numero du certificat : Ontario Date issued: Date de delivrance : Mar 26 2021 Photocopie certifiee Ottice of the Registrar General se trouvant dans les dossiers du conforme d'un document Bureau du registraire general Bureau du registraire general File number: 01861048-01-8 (Ontario) Canada Numero de dossier : Mlnltt,y cl Governmont Statement of Death l>'ontario Service Ontario and CollSUIMf Servlee.s Form 15 Office of lhe Regi&trar Generm Note: form 7 lllllSf be cor'l)lefed for sti1Jbir1hs. Thb is a pennanenl teoal le(Ofd. Please PRINT de.,,,, in blue or bllld< ink. Information About the Deceased 1. Last Name ot SnQle Name 2. last name or single name al Ume of birth Al Saad Al Saad · 3. Fin.I and middle names Any other names u~ed Sex (Mor F) Newal Nowal Female 4. Dale or ~•lh '.nr,lmrrlod) 6, City ahd provInca wl\orA born (If outsllaw First and middle name Fira6, 14. 'Type ol business Of indv61ry that l"8 d.-.ed - d iO rn~ ol~rlli'l9 DI& Education 15. Decea,ed's usualre>idenoe (f.lleel n•fl'bet and.,.,..,, o)', provi/loe, p"'1al oodt (do not .., po,t offiC8 b.,. orNr.al rnur.)) 60 Bates Way,Mal1i cl) • 60 Bates Way, Markham, Ontario, L6C 1R7 .1 2021/03/26 To b e Completed Only by t he Funeral Director or Pen;on(s) In Charge of Remains 28. lype ol di6po6llion (bu,'fal. cremaUcn or ij ollienpocily) 211. ~ dale or ': ptu'""""• pi,otal code) S2E3 36. Dale /;(ffllmm/"4) 36. Buoiness code number 648 2021103/26 Fo, Iii• uso ol\he Offiw of tho R"l!islrar Genenl only 11190£ (2017/D:1) OQueeri'a: PMttf f0t On.tarlo, 2017Oi5poriiblc. en &-an~ Pa.ge 1 of2 -· FILED: NEW YORK COUNTY CLERK 01/05/2023 04:16 PM INDEX NO. 190002/2023 2021 012009 ~ NYSCEF DOC. NO. 4 Registration Number: RECEIVED NYSCEF: 01/05/2023 Certified A True Numero d'enregistrement · PAGE 2 of 2 on flle at the Photostatic Office of the Registrar General Cert1flca1e number- ~ Print of a Record Ontario, Canada P43465~8 Numero du certificat Ontario Date issued· Mar 26 2021 Photocopie certifiee Date de delivrance : Office of the Registrar General se trouvant dans Jes dossiers du conforme d'un document Bureau du registraire general Bureau du registraire general File number: 01861048-01-8 (Ontario) Canada Numero de dossier : Ollleeolth• Medical Certificate of OntarioG Service Ontario Rt11ietnr Genonl Death• Form 16 I Nola: Fom, 8 must be eornpletlld for alll~rlha. Th s rorm must be tXlffll)!eted ~ the attending Offloo Uta On~ phy1iclan, COIOflCII or RN(EC) befo11 a burial permM can be issued. !'lease PRINT cleelly In blue or black Ink at it is a pt(man,m legal reoord . Information About the Deceased 1. lMl-orWG19ne.me 2 91tte af d 1th o-mtnunldd) ~L c;AA.'D ~GI 03 24 . l. Su 0 ~1d:lt.,.. F I 11f'lsoe of detth (nlWIICI af faci ty otloc:allon) ~OVNT S, tJ ,, hO'>P\ TAL ~ □ I.Ong L:.J Hoeplllll □ PYw•• _,.,., centRelldenceD 01tte< (tpeaty) 10. Clly, town, lllbga or lo...,.h'p Re;ia,al 11U11Ctpal!y, county o; dlobtct "foG?.a,.110 Cause of Death ......... IIIMI'...,.., .. .. ...................... .. .. •. . .•. . .. . ..•••• •• •. .. • •.. ... ... •. . •. • •.• .. .... . ....... .... .... ... . • .. •.. .. •. .... .. .. •.. . •• Anlacedeolt CIIUIU. I UV, (I,~ Undeffy (Cl ~ c:a,m ol dealh .. .,.......,.., . . . . . . ........... . .... ······"· --·"·'"" .... . 1) (Slalad ldl._ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _+ - - - - - - - - - - - or,.,..,...._ Part 11 ~ l o ... 4ulllu. _,.,,1111 _nOlll'tOlll!tl!IIM~I □ ,.., a...., o~.,~- 4.?d.,y,(ollowlng of '"8,.irf "'" <119 .-.d ol ~ •• • 11,0lllon, INICafflqo. edO!liO '"'M - I 1l. -11!•__.d -- ■i...i,;lal'I ...- i o t 11. 0..01""-oltlulhal■lad.i.... tt. MlyM1nerW-..,onnil111.t,glollec.,...,._ bl_,lllt _..,....,II'? Ovn QNo ? Ov. □ No T,._lio 20. lf-r,r, lw?. ToeoNTO ON M4M '2 SS . To be Compllml by the DMalon RegitlAr 11'111111 -CIICINcu ol OUlli Mdll'llltecc,_-,dlng ~ ol Dlllll · - W1C1 Mlc:tlnl 111d I IQIIII 11J,.-,11e dial Da!l~l,n1"ldlfl ll~n1mi. DIY r19,-,o. ~ 03 2b Oa.-.'9P!Wlrb: 0rOllo, 201' 11291£(20!111'101