BCP 222172 CERTIFIED COPY OF AN ENTRY Pursuant to the Births and Deaths Registration Act 1953 DEATH Butry No. 240, Tegitraton datiet Hounslow “Adiininiratve area ‘Subdistrict Hounslow London Borough of Hounslow ate and place of death ‘Twenty-ninth April 2023 ‘West Middlesex University Hospital, Twickenham Road, Isleworth 2, Name and surname ‘Vicente Luis COUTINHO. Ma of voman whe | — _ ee ‘aie and ples of bi _ Eleventh January 1955 India e iss = ao Store Assistant (retired) Husband of Eugenia Celestine SEQUEIRA Housewife 2 Byward Avenue Feltham Middlesex ‘Name and aumname oF iformané — (©) Qualification | Deepni Nathalie COUTINHO Daughter (@ Grnal adres 2 Byward Avenve Feltham Middlesex ‘eerily that the particulars given by me above are trueto the best ofmiy Inowledge and belief Siesature cout ot normant 7 Casco ete (a) Multi Organ Failure © Sepsis Of Unknown Aetiology Il Chronic Pancreatitis, Type 2 Diabetes Mellitis Certified by T. Le Tissier BMBS Dae eS Ti Sigaar ore hire May 2023 ‘Adela Orizu Registrar Cerifedtobe ats copy ofan ety in register in my cast. Boe — ‘Superintendent Registrar Duc 93.05: 223, Register corte nthe dot (CAUTION: THERE ARE OFFENCES RELATING TO FALSIFYING O8 ALTERING A CERTIFICATE AND USING ‘OR POSSESSING A FALSE CERTIFICATE, °CROWN COPYRIGHT ‘System No. 525619833 WARNING: A CERTIFICATE IS NOT EVIDENCE OF IDENTITY.