OFFICE OF THE CORONER ROBERT. FOUCRAULT COUNTY OF SAN MATEO “?888e8" iL EI “ DECEDENT NAME: Sereio Cxtua eo MouzoW CORONER CASE #: (4.00872 Pursuant to Probate Code 330, the Coroner may deliver the tangible personal property of the decedent inthe Coroner's possession to the decedenes surviving {Pouse, relative, or conservator or guardian ofthe estate acting in that capacity atthe time of deaty However, Such property shal not be delivered ifthe Coroner knows orhas reason to believe tha tere ga delivered. As required by Probate Code Section 330, by signing below, you warrant that you are a surviving spouse, relative, or conservator or guardian of the extn Sieh deme abacity at the time of death. You further warrant that you are entitled to possess the property ofthe decedent inthe Coroner's custody, and that there is no dispute over the right to possession of avr property. Under penalty of perjury, you declare that no other person has a superior right to the interest of {Re decedent inthe described property. You are requesting release of the decedent's property toyou, or vo ‘Someone you designate (such as a funeral director or mortuaty), as follows: Eulalia 10 Avenida B 39-25 Zona 11, Guatemala City, Guatemala Phone: 502 5202 9193 Request Print) Adress iy, Sate, Zip Phone E__ Mother S/21/20/9 Sinatare Telatonship to Deeedent Date Signed Release property to the following person or. entity: Luis Roberto Monzon ‘PORCORDMERISEOMLY i.As required by Probate Code 330, the person Prbaee ede gate 0! the decedent's property has provided the following reasonable proof of status and identity (per Probate Code 13104 (4), tic California driver's license or Identification card, ora United States Passport that ls current or was issued within the last five years, Jody ofthe folowing documents i current or Issued within the lat § years and which contain a photograph and seaeprion of the person named on iis signed bythe person, and bears a serial or other identifying number (9) Ressport issued by a foreign government that has been stamped by the United States Bureau of Immigration ant {usar Enforcement: (b) a driver's license or identification card Issued by another State; or (c) an ideatifeation card {ssued by any branch of the United States military, + Anolary publi’ certificate of acknowledgment identifying the person exocuting this release form. (Attach copy) (Type of b, Issuing Entity, and Identifying Number) OO ‘Werfying Coroner Employee Tie Dae PROPERTY RELEASED TO; Print Name ‘Signature DateOFFICE OF THE CORONER ROBERT J. FOUCRAULT ‘CORONER COUNTY OF SAN MATEO “858 50 TOWER ROAD + SAN MATEO + CALIFORNIA 94402 RELEASE OF AUTHORIZATION FOR DISPOSITION OF REMAINS I declare, under penalty of perjury, that I have the legal right to control the disposition of the remains of _ Sergio Estuardo Monzon in accordance with Health and Safety Code §7100. Name;__Bulalia Gamez Relationship: _Mother 10 Avenida B 39-25 Zona 11 Guatemala City, Guatemala Address: City: State: Zip Code: Phone Number: _502 5202 9193 Thereby release authority to_LwisRebertoMonzon tg control the disposition of the abovementioned remains. Address: _1937 Hopkins Avenue city; _Redwood City State; _CA Zip Code: _ 94062 Phone Number; (650) 400-1064 Signature: _» Date: shile 20/4 Please attach a photocopy of reasonable proof of identity of the person signing the form. Proof of identity may be an identification card or driver's license issued by the Department of Motor Vehicles, a passport issued by the United States of America, or a notary public's certificate of acknowledgment identifying the person signing the form.® En la ciudad de Guatemala, el dia veintiuno de mayo del afio dos mil diecinueve, como Notaria doy fe que las dos hojas de copia que anteceden y la presente son Autenticas por haber sido reproducidas de su original en mi presencia y reproducen Solicitud de Liberacién de bienes personales de persona fallecida, del Condado de San Mateo, California, documento redactado en idioma inglés, en el cual la sefiora Eulalia Gamez Corzo, autoriza la liberacién de los bienes Personales del sefior Sergio Estuardo Monzon. Por lo que firmo y sello la presente. Por miy ante mi O p90 Qoior fla a