Kantrowitz, Hyman 4e388 1 HH 1940
No....._._... DEPARTMENT OF HEALTH OF THE CITY OF NEW YORK
Thin permit must be handed to BURIAL OR CREMATION PERMIT M ''R lt.4
the keeper of the Cemetery or
Crematory by the Funeral Director ". ..--;(:
in charge of the funeral. New York, 19
The Certificate of Death having been furnished to this Depa114
rt[me a required by the Sanit Code, permission is
hereby given to...jyfe-'4.-
...... .............7--et-4-11.4. f ( �`�~ � r
to remove the rei . .. ..-.. Aged-. 2Yrs Mo bays,
who died at Borough of 1 =�City of New York on - l�� 9..�f from _.-.-_.-.._ -�� _
For ur i.fL"'l r i on �—
_. .k `!� T. _......
Cause of Death `-.. � �'""; ' % .` ,a �_ M.D.
L -- --. ._._._ L A il Ariatan ordn.
•Cross out one. Per ...