Form no. 6 grep vane Serial No. 186/15 46s = CERTIFICATION OF TRANSLATION DVAN NWN I the undersigned Jodi Kremerman YAY 7A NNN» (full name) Onn own) Notary at 2 Weizman St. Tel - Aviv hereby declare > MA TDPYNYN IWaxN - dN ,2 yosNIWNI- aMMwY English languages and that the document attached to qmynn Javan this certification A yor0nn nt WweNd marked A is a correct toom wesc (letter of number) translation into English mans? pm ON NI (language of translation) form non Fv wine Pnyn CL] s mpnn Joonn | of BJ the original document /[[] certified copy of the Payne pan povaN wR Tove CO] / pp; original document / () a document that is not the wr original document nor a certified copy of the original document* ne? IW ayn Nowa 3A gyn ** WMDs Pnyn K] Ann] ¥ drawn up in the Hebrew Byron nt wnd language, which has been to me, and [] is Herma secs also attached herewith/ [XJ a photocopy of which is also attached herewith** and marked B TWPNNA YANN ODINA PYT NN NWN YN (letter or number) In witness whereof I certify the correctness of the said translation by my signature and seal. This day September 20th, 2015 Kev document”, you may indicate that the document was _ received by facsimile or that it is an uncertified photocopy of a document or a similar indication. ** marked the appropriate option. $240605-03 Vi79 ,6242060-03 70 TN? ANSINN - PON Fw OPIN SND wy PIN Nt 7: EFTA00151192

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State of Israel hoes Ministry of the Interior DEATH CERTIFICATE Sumame Teicher Given name David Father’s given Name Avraham Mother’s given Name Rachel Sex Male Identity number 0 0125938 1 Nationality Jewish Religion Jewish Personal status Married Date of birth 14" day of Shvat 5702 Date of birth February 1“, 1942 (Jewish calendar) (Gregorian calendar) Date of death 7" day of Tevet 5769 Date of death January 3" , 2009 (Jewish calendar) (Gregorian calendar) Place of death Jerusalem Hospital's name Hadassah Ein Kerem Cause of death I hereby certify that the death was registered in the register of deaths This certificate has been issued in accordance with paragraph 30 of the Civil Register Law 5325 - 1965, at the Chamber of Civil Register and Immigration in Tel Aviv - Center On the 13" day of Shvat 5774 January 14", 2014 Shchori Ester Stamp: STATE OF ISRAEL, Head of Branch MINISTRY OF THE INTERIOR Clerk's name and signature Office's stamp ee eeeeeSESESSSSSSSSSSSSSEE To Teicher Family Almogan 18 Apt. 3 Modi'in-Maccabim-Re'ut 7170255 EFTA00151193

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