Merritt, Stephen No. 8622 DEPARTMENT OF HEALTH OF THE CITY OF NEW YORK
This permit must be handed to BURIAL-CREMATION-TRANSPORTATION PERMIT
the Kee ter of the Cemetery or
Cryeatory by the Funeral Director
al chaste of the funeral. NCUJ York, 194.__
The Certific f e h havi : been furais :, r this Department, equir he Sanitary Code, permission is
hereby given to. .... .... ..... ... . a' .. r ") -3
to remove the re al Age . rt. .Mo.. Days,
arfri
who died at .. .. .. ... . . 1'� �i Borough of
City of New York, on_:a..y. Tim ,19 1 "~ "
GemWion*
for Burial* at �... ..
. .1✓ / 19
corpse •zacort C . • M.D.
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