Schwartz, Mark No DEPARTMENT OF HEALTH OF THE CITY:OF NEW YORK
"` BURIAL OR CREMATION PERMIT
Ala parfait must be handed to
bottler of the Cemetery `or 1
C torr by the Funeral Director New York,. 19
r In at of the funeral.
tilllar
. The Certificate of D s having been furnished, t this Department, as required by the ary Code usis ' is
� o f V/ e- .
her. to ...:.
(Mirs4tir &e.remains o f ed ..Mo Days,
died at Air,t. Borough of
`City of New York, on # '.J'; � f
, ,from.. ..
For banal*at '�i+`�"' on / L Peit #t"° 19
Cause of Death 7r3 rl .
_ st Registrar of FRelOordt. ..••••.
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Ones out one. per i
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