On March 19, 2020 a
EXHIBIT(S) - D (Motion #006) Death Certificate Redacted per 22 NYCRR - Death Certificate Redacted
was filed
involving a dispute between
Joseph Itara,
Tabetha Itara,
and
Masaryk Towers Corporation D B A Masaryk Towers Management,
Metro Management & Development Inc., A K A Metro Management Devel., Inc.,
for Torts - Other (Premises Liability)
in the District Court of New York County.
Preview
FILED: NEW YORK COUNTY CLERK 06/02/2023 03:55 PM INDEX NO. 152948/2020
NYSCEF DOC. NO. 224 RECEIVED NYSCEF: 06/02/2023
Index #: 152948/2020
Motion Seq. #: 006
Exhibit D
FILED: NEW YORK COUNTY CLERK 06/02/2023 03:55 PM INDEX NO. 152948/2020
NYSCEF DOC. NO. 224 RECEIVED NYSCEF: 06/02/2023
DEATH TRANSCRIPT
PA CG Y OF
FR E D T H E NEW YORK DEPA RTME N T Of HF ALTH AND MENTAl HYGilNE
NIT Y ORK CITY
CERTIFICATE OF DE ATH CathMe No.
156-22-034990
PA R TM F N I O F HI Al. TH
½ D MEN I AL H YGIENI
lul M 2022 09 48 A M
E
J OSEPH ITARA
2a New York City
-
)2c Type of Waoe 4 3 Nursing Htmatong Torm Care Fawty d Any Hmptm we i 29 NW M wo c e y -, a .-w >". ai m am u
26. 1 J
sorough Hospitaunpatient 5 J Hospice F ac Mr
G
-
2 Dept '0utpathrv 6 U Decedent s Resierre
Emergency
. I 2 Je No
Manhattan a Deacon Amva Oth .
Specify 3 J Unkrvawn
Date ano Time 3a ;MorMh'i (Day) (Yearyyy yl 3b Dm M AM
of Death
, y r
28 -lo"
July 2022 11 18 M 07 28 20n
b 6. Certther I certify that death occunned at the sme. date and place andscated ard that m the tr st of my Anowledge trauraE rpar a
a"hd that doeth , q
did net occur in any onusual manner and was due entirely 10 NATUPAL CAUSES See Instructions on reverse of cerM
Nwne of Medical CertAe,
G U A s na,ore
o e,, 1000 10th Ave New York, NY 10019 354967
Hnseno JUL-28-202P
7s Usual Residence State 7h. County 7c..City of Town 70 Stumt and Nector Ag No IP C .
New York New York New York .520 W 56th Apt 148
St 1 00 19
8. Date of Sirth (Month) (Day) (Year 9, Age at fast
yyyy) Dinhday Under 1 Year Uroar 1 10 trrg No
Day Son"y
(yearsl
Monitd Days He°rs MrWes
74 *** *" ***
48
. 3 11a Usual Occupatiori (Type of work done dunng most of woriong ble, 11b Kand cr business or indush y 12 Abases or AKAs
Qg.AQLuse T red
Elevator1echanic Mechanic Joseph Anthony Itara
3. Birthplace (City & State or Foresgn 4
Country) Education (Check the tox thaJ tast oesebes the nichest degree or evelof school corrpleted at the 9me of death)
1 Q 8th grate or less. 4 Q
New NY
none Some coEege credi1. but no degree 7 J Master s deges te o MA. MS. MErg MEd M5W W
s York, 2use -en grade:noowoma sa Assmate degee (e gÄ AS) 8 3 Doctorate |e D.E
3 &High school graduate or GED 6 O Bachelor s degree to g BA AB BS Professonal degee (a g , MD. DDS DVM. LLS -O
15. Ever in 0 S. 16. Status at time of amath
MaritaVPartnenitvp 7. SuMving Spouse s Partnes s Name (prior tofirst marnageWRrst. Medle Lass)
Armed Forces? 1 all Marned 2Q Domesac Partnershp 3 J Dworced
yes agNo
4 Q Mamot separmed 5 D Never Mamed 6 O Wdowed
7 3 Other Spoofy S Unknown Tabetha Qui es
18. FathedParent Name (Poor to 1rst (Mrst.
marriage) Mi·ddle, I.4st) 19. Molfnt/Parent Name [Pnor to first (First. ½ddle
mamagej Last)
Jose Itara
o Maria Guzman
20a. Informant s Name 20b, Retahonship so Oscadent 20c. Address (Street and Number Apt No City & State ZIP Code
Tabetha Itara Spouse 520 W 56th St Apt 14B, New York, NY 10019
218. Method of Dispos4on
21b. Place ci DispositaoI (Name of cemeteryscrematory. other place)
3 2eunal 23 Creenation 3
3 Entombmert 4 O City Cemetery
St. Raymonds Cemetery
21c. Location of Disposilon(City & Stateor Foreign Coune y . tid. Date of mm dd y
Disposinon
Bronx, NY
08 06 2022
22a. Funeral Estabkshment
22b, Addrest Street and Number
City & State ZIP Code)
Crestwood Funeral Horne & Crernation Services 445 W 43rd Street New York, NY 10036
Changes approved for filling by he Comrnesioner of Health Formerty: Informant Address Apartment, Suite, Buiding. Roor, etc - Apt -
Decadent Resident Address - Apt 80; Informant Address
Apartnent, Sults, Buildog. Floor, etc 80. Decedent - Zip 10019-3542
Resident Address
point.*" Zip 10019-3542; approved
15-2022, No furber entry beyond this by Deputy City Registrar J. Hicks on Au
VR O'
5 tMov 2
EV T20220840 102 6
August 18, 2022
This is to certify that the is a true of a record
foregoing copy on file in the Department of Health
. and Mental Hyglene The Department of Health and Mental Flygiene does not certify to the truth of
. the statements made therson. as no inquiry as to the facts has been prowded by law.
Do not accep11hts transcript unless it bears the securtf features 1:sted on the back. Repro0uct an
or afteration of this transcript rs prohibited by §3 of the New York
19Ãb) City Health Code d the
purpose is the evasson 0 tolatNn at any provison of the Health Coce or any other ;a
140000113 0
Document Filed Date
June 02, 2023
Case Filing Date
March 19, 2020
Category
Torts - Other (Premises Liability)
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Preview
FILED: NEW YORK COUNTY CLERK 06/02/2023 03:55 PM INDEX NO. 152948/2020 NYSCEF DOC. NO. 224 RECEIVED NYSCEF: 06/02/2023 Index #: 152948/2020 Motion Seq. #: 006 Exhibit D FILED: NEW YORK COUNTY CLERK 06/02/2023 03:55 PM INDEX NO. 152948/2020 NYSCEF DOC. NO. 224 RECEIVED NYSCEF: 06/02/2023 DEATH TRANSCRIPT PA CG Y OF FR E D T H E NEW YORK DEPA RTME N T Of HF ALTH AND MENTAl HYGilNE NIT Y ORK CITY CERTIFICATE OF DE ATH CathMe No. 156-22-034990 PA R TM F N I O F HI Al. TH ½ D MEN I AL H YGIENI lul M 2022 09 48 A M E J OSEPH ITARA 2a New York City - )2c Type of Waoe 4 3 Nursing Htmatong Torm Care Fawty d Any Hmptm we i 29 NW M wo c e y -, a .-w >". ai m am u 26. 1 J sorough Hospitaunpatient 5 J Hospice F ac Mr G - 2 Dept '0utpathrv 6 U Decedent s Resierre Emergency . I 2 Je No Manhattan a Deacon Amva Oth . Specify 3 J Unkrvawn Date ano Time 3a ;MorMh'i (Day) (Yearyyy yl 3b Dm M AM of Death , y r 28 -lo" July 2022 11 18 M 07 28 20n b 6. Certther I certify that death occunned at the sme. date and place andscated ard that m the tr st of my Anowledge trauraE rpar a a"hd that doeth , q did net occur in any onusual manner and was due entirely 10 NATUPAL CAUSES See Instructions on reverse of cerM Nwne of Medical CertAe, G U A s na,ore o e,, 1000 10th Ave New York, NY 10019 354967 Hnseno JUL-28-202P 7s Usual Residence State 7h. County 7c..City of Town 70 Stumt and Nector Ag No IP C . New York New York New York .520 W 56th Apt 148 St 1 00 19 8. Date of Sirth (Month) (Day) (Year 9, Age at fast yyyy) Dinhday Under 1 Year Uroar 1 10 trrg No Day Son"y (yearsl Monitd Days He°rs MrWes 74 *** *" *** 48 . 3 11a Usual Occupatiori (Type of work done dunng most of woriong ble, 11b Kand cr business or indush y 12 Abases or AKAs Qg.AQLuse T red Elevator1echanic Mechanic Joseph Anthony Itara 3. Birthplace (City & State or Foresgn 4 Country) Education (Check the tox thaJ tast oesebes the nichest degree or evelof school corrpleted at the 9me of death) 1 Q 8th grate or less. 4 Q New NY none Some coEege credi1. but no degree 7 J Master s deges te o MA. MS. MErg MEd M5W W s York, 2use -en grade:noowoma sa Assmate degee (e gÄ AS) 8 3 Doctorate |e D.E 3 &High school graduate or GED 6 O Bachelor s degree to g BA AB BS Professonal degee (a g , MD. DDS DVM. LLS -O 15. Ever in 0 S. 16. Status at time of amath MaritaVPartnenitvp 7. SuMving Spouse s Partnes s Name (prior tofirst marnageWRrst. Medle Lass) Armed Forces? 1 all Marned 2Q Domesac Partnershp 3 J Dworced yes agNo 4 Q Mamot separmed 5 D Never Mamed 6 O Wdowed 7 3 Other Spoofy S Unknown Tabetha Qui es 18. FathedParent Name (Poor to 1rst (Mrst. marriage) Mi·ddle, I.4st) 19. Molfnt/Parent Name [Pnor to first (First. ½ddle mamagej Last) Jose Itara o Maria Guzman 20a. Informant s Name 20b, Retahonship so Oscadent 20c. Address (Street and Number Apt No City & State ZIP Code Tabetha Itara Spouse 520 W 56th St Apt 14B, New York, NY 10019 218. Method of Dispos4on 21b. Place ci DispositaoI (Name of cemeteryscrematory. other place) 3 2eunal 23 Creenation 3 3 Entombmert 4 O City Cemetery St. Raymonds Cemetery 21c. Location of Disposilon(City & Stateor Foreign Coune y . tid. Date of mm dd y Disposinon Bronx, NY 08 06 2022 22a. Funeral Estabkshment 22b, Addrest Street and Number City & State ZIP Code) Crestwood Funeral Horne & Crernation Services 445 W 43rd Street New York, NY 10036 Changes approved for filling by he Comrnesioner of Health Formerty: Informant Address Apartment, Suite, Buiding. Roor, etc - Apt - Decadent Resident Address - Apt 80; Informant Address Apartnent, Sults, Buildog. Floor, etc 80. Decedent - Zip 10019-3542 Resident Address point.*" Zip 10019-3542; approved 15-2022, No furber entry beyond this by Deputy City Registrar J. Hicks on Au VR O' 5 tMov 2 EV T20220840 102 6 August 18, 2022 This is to certify that the is a true of a record foregoing copy on file in the Department of Health . and Mental Hyglene The Department of Health and Mental Flygiene does not certify to the truth of . the statements made therson. as no inquiry as to the facts has been prowded by law. Do not accep11hts transcript unless it bears the securtf features 1:sted on the back. Repro0uct an or afteration of this transcript rs prohibited by §3 of the New York 19Ãb) City Health Code d the purpose is the evasson 0 tolatNn at any provison of the Health Coce or any other ;a 140000113 0