Aronson, Karen ! * , AUTHORITY FOR FINAL DISPOSITION
COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
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• It is unlawful for any person in charge of a burial place or crematory to permit burial or other disposition of a dead human body or fetus until a
final disposition permit has been issued.
• A final disposition permit may be issued only upon registration of a completed death certificate.
• A final disposition permit is required for any type of disposition of a dead human body or fetus.
• This permit may be used for transporting by common carrier.
• This permit meets all the requirements of C.R.S. 12-54-307(2)(a)(IX).
andior cremation on private-prop i !meaning n4Lan established cemetery or
crematory),such as city/county ordinance,land use regulations,convenants,etc.The landowner and/or
funeral director is responsible for determining if such requirements or restrictions exist,prior to final disposition.
This final disposition permit,when completed and bearing the required signature,constitutes authority for burial,interment,cremation,
removal from the state,or other authorized disposition of the deceased named below,in accordance with Section 25-2-111 C.R.S. 1982.
This permit must accompany the remains to their destination.
Name Of Decedent KAREN EDITH ARONSON Date of Death 10/10/2017
Sex FEMALE Age 69YEARs Date of Birth 05/27/1948 Place Of Death LOUISVILLE BOULDER
City County
Name of Funeral Establishment FELDMAN MORTUARY, INC.
Address of Funeral Establishment 1673 YORK STREET DENVER COLORADO 80206
Type of Disposition REMOVAL FROM STATE
Place/Cemetery/Crematory SHAARAY TEFILA CEMETERY
City QUEENSBURY State NEW YORK
Additional information regarding transport and/or disposition(if needed):
have examined the completed death certificate for the decedent named above, and authorize final disposition of the remains. (To
be signed by the office designated or established pursuant to section 25-2-103 C.R.S. 1982 in the county where death occurred.)
State Registrar
Signature Title
4300 Cherry Creek Drive South, Denver,CO 80246 10/11/2017
Address Date
REV:OCTOBER 2015