Cooke, Walter DEPARTMENT OF HEALTH OF THE CITY OF NEW YORE 1 HH-36M-811061(75)
BUREAU OF VITAL RECORDS ,.346
M 9136 BURIAL-CREMATION-TRANSPORTATION PERMIT MAy 13 1911
Date w.
The Certificate H�of Death hping been furnished to.this Deparrtment, as required p t Health Code, permission is
�a.tf--/l - 1` r -• of / -: /Ei /',../y.S< 'c 4" Y�`t- fi;--;.;4„,,•-�
hereby given to _a _---•
to remove the remains of '"'' 'd /� : `u d ``k 4,. .. ---Age .� ._Yrs. _,Mos. Days,
6 ... /��
who died at....__-_.__-- _._ L/I-` :' _ - --••-••••-•••-•--••-Borough of Manhattan
MAY/ 1976
City of New York, on__ �_____ ,19
* '/ C MAY/7 1976
for Burial*at 7 L, .'1116t-4•� s- '1(.1; -'''6Z,v i 1iV� on 119
This permit must be handed to the Keeper .
of the Cemetery or Cremators by the
Funeral Director in charge of the funeral. City Registia '
,�t
•Goss out one. Per�„'`� ,�. - .''"
DEPARTMENT OF HEALTH OF THE CITY OF NEW YORE 1 HH-36M-811061(75)
M 17601 BUREAU OF VITAL RECORDS „- 346
BURIAL-CREMATION-TRANSPORTATION PERMIT OCT 81
Date
The Certificate ofof D ath ha ng en f rnishe; to this Department,
�a/s required by the Health Cooddee perm i n is
hereby given to_ (4 �� , of__ .._1V � 7ZfrtQl S/ . l'�- i
I
to remove the remains of___._. __ _. .__ -•�.._r __.__Age ,.Yrs. ___._. Mos. Days,
who died at. 7):._t/' _ __ _.... Borough of Manhattan
City of New York on_ ` .._._., 1 _.
6rsmeEis»* • f' ^T
for Burial*at_...� � l — _ • on /4 y: . 19_
•
This permit must be handed to the Keeper ✓,
of the Cemetery or Crematory by the
Funeral Director in charge of the funeral. Cit Registrar
•Cross out one. Per _