iiaisgggisaiir STATE OF FLORIDA

X- THIS DOCUMENT HAS A LIGHT BACKGROUND ON TRUE WATERMARKED PAPER . HOLD TO LIGHT TO VERIFY FLORIDA WATERMARK .
ti BUREAU of VITAL STATISTICS
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CERTIFICATION OF DEATH

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STATE FILE NUMBER: 2020174958
DECEDENT INFORMATION
DATE ISSUED: SEPTEMBER 28, 2020
DATE FILED: SEPTEMBER 28, 2020 m
m NAME: CODY FREEMAN TUOMALA

DATE OF DEATH: SEPTEMBER 20, 2020

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§ SEX: MALE SSN: 033-82-2461 AGE: 020 YEARS !6|
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DATE OF BIRTH: DECEMBER 16, 1999 BIRTHPLACE: BOSTON, MASSACHUSETTS, UNITED STATES
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m PLACE OF DEATH: EMERGENCY ROOM/OUTPATIENT m
FACILITY NAME OR STREET ADDRESS: ADVENTHEALTH WINTER PARK
LOCATION OF DEATH: WINTER PARK , ORANGE COUNTY , 32792

m RESIDENCE: 185 HERRING POND ROAD, PLYMOUTH, MASSACHUSETTS 02360, UNITED STATES COUNTY: PLYMOUTH
OCCUPATION, INDUSTRY: STUDENT, FULL SAIL UNIVERSITY
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inf? EDUCATION: SOME COLLEGE CREDIT, BUT NO DEGREE EVER IN U S. ARMED FORCES? NO
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HISPANIC OR HAITIAN ORIGIN? NO, NOT OF HISPANIC/HAITIAN ORIGIN
RACE: WHITE
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m SURVIVING SPOUSE / PARENT NAME INFORMATION
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(NAME PRIOR TO FIRST MARRIAGE, IF APPLICABLE)
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MARITAL STATUS: NEVER-MARRIED
SURVIVING SPOUSE NAME: NONE
FATHER 'S/PARENT' S NAME: JEFFREY TUOMALA
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MOTHER' S /PARENT'S NAME: MARJORIE FREEMAN

INFORMANT, FUNERAL FACILITY AND PLACE OF DISPOSITION INFORMATION i . .
INFORMANT'S NAME: JEFFREY TUOMALA
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RELATIONSHIP TO DECEDENT: FATHER If!.11
INFORMANT'S ADDRESS : 185 HERRING POND ROAD, PLYMOUTH, MASSACHUSETTS 02360, UNITED STATES
FUNERAL DIRECTOR/LICENSE NUMBER: MILLIE DE JESUS, F045082
FUNERAL FACILITY: BALDWIN BROTHERS - ORLANDO F078706
1654 N SEMORAN BLVD UNIT 130, ORLANDO, FLORIDA 32807
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fT METHOD OF DISPOSITION: REMOVAL FROM STATE ill I 9
PLACE OF DISPOSITION: NEMASKET HILL CEMETERY a
n MIDDLEBOROUGH, MASSACHUSETTS =n
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CERTIFIER INFORMATION
TYPE OF CERTIFIER: ASSOCIATE MEDICAL EXAMINER MEDICAL EXAMINER CASE NUMBER: 200902316
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n TIME OF DEATH (24 HOUR): 2357 DATE CERTIFIED: SEPTEMBER 28, 2020 33
CERTIFIER'S NAME: JESSE CLINTON GILES m
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CERTIFIER 'S LICENSE NUMBER: ME55714
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r. NAME OF ATTENDING PHYSICIAN (IF OTHER THAN CERTIFIER): NOT APPLICABLE 33
Si CAUSE OF DEATH AND INJURY INFORMATION
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MANNER OF DEATH: HOMICIDE ill
CAUSE OF DEATH - PART I - AND APPROXIMATE INTERVAL: ONSET TO DEATH
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PART II - OTHER SIGNIFICANT CONDITIONS CONTRIBUTING TO DEATH BUT NOT RESULTING IN THE UNDERLYING CAUSE GIVEN IN PART 1: is
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1 AUTOPSY PERFORMED? YES AUTOPSY FINDINGS AVAILABLE TO COMPLETE CAUSE OF DEATH? YES v
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DATE OF SURGERY:
REASON FOR SURGERY :
DID TOBACCO USE CONTRIBUTE TO D ATH? NO
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PREGNANCY INFORMATION: NOT APPLICABLE

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DATE OF INJURY: SEPTEMBER 6, 2020 TIME OF INJURY (24 HOUR): UNKNOWN INJURY AT WORK? NO
LOCATION OF INJURY: 2500 SUMMER WIND DRIVE APT NO. 2504, WINTER PARK, FLORIDA 32792, UNITED STATES
DESCRIBE HOW INJURY OCCURRED:
SHOT BY ANOTHER PERSON WITH HANDGUN
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I PLACE OF INJURY: DECEDENT'S HOME

IF TRANSPORTATION INJURY , STATUS OF DECEDENT: TYPE OF VEHICLE:
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,STATE REGISTRAR Df liii ' if -
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REQ: 2021963655
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THE ABOVE SIGNATURE CERTIFIES THAT THIS IS A TRUE AND CORRECT COPY OF THE OFFICIAL RECORD ON FILE ; IN THIS OFFICE.
THIS DOCUMENT IS PRINTED OR PHOTOCOPIED ON SECURITY PAPER WITH WATERMARKS OF THE GREAT &
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WARNING: SEAL OF THE STATE OF FLORIDA. DO NOT ACCEPT WITHOUT VERIFYING THE PRESENCE OF THE WATER - 1
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m lyjvf MARKS. THIE DOCUMENT FACE CONTAINS A MULTICOLORED BACKGROUND, GOLD EMBOSSED SEAL, AND
THERMOCHROMIC FL. THE BACK CONTAINS SPECIAL LINES WITH TEXT. THIS DOCUMENT WILL NOT PR 11
te A COLOR COPY.
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- DH FORM 1947 (03-13)

5 8 3 3 5 3 8 7 ^ CERTIFICATION OF VITAL RECORD

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