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Aguilar, Remberto r 9 J NEW YORK CITY THE CITY OF NEW YORK-DEPARTMENT OF HEALTH AND MENTAL HYGIENE DEPARTMENT OF HEALTH OFFICE OF VITAL RECORDS AND MENTAL HYGIENE April 11,2020 10:29 AM PERMIT TO DISPOSE OF OR TRANSPORT HUMAN REMAINS 156-20-023381 EVENT:(CHECK ONLY ONE) )W DEATH ❑SPONTANEOUS TERMINATION ❑INDUCED TERMINATION CERTIFICATE NUMBER NAME First,Middle,Last AGE I SEX DATE MONTH DAY YEAR OF (YYYY) Remberto Aguilar 58 Male EVENT 103 31 2020 BOROUGH NAME OF HOSPITAL OR INSTITUTION OR STREET ADDRESS PLACE OF NEW YORK CITY EVENT Bronx North Central Bronx Hospital NAME OF PHYSICIAN OR MEDICAL EXAMINER'S NUMBER METHOD ❑ INTERMENT CREMATION CREMATION APPROVED BY: CERTIFIER OF MEJMLI MaureenF Obrien farhan ali DISPOSAL ❑ OTHER M.E.CASE*B20015852 PLACE OF NAME OF CEMETERY OR CREMATORY(OR DESTINATION] ;ITY OR COUNTY AND STATE DATE MONTH DAY YEA) DISPOSITION Pineview Crematory Queensbury, New York DISP OF 04 18 2020 THE CERTIFICATE OF DEATH HAVING BEEN FILED AS REQUIRED BY THE HEALTH CODE,AND ALL LAWS AND REGULATIONS GOVERNING THE PREPARATION AND DISPOSAL OF HUMAN REMAINS HAVING BEEN COMPLIED WITH, PERMISSION IS HEREBY REQUESTED TO DISPOSE OF THE REMAINS AS IDENTIFIED ABOVE. NAME OF ESTABLISHMENT ADDRESS CITY AND STATE N.Y.STATE REG.# FUNERAL ESTABLISHMENT Gerard J. Neufeld, Inc. 8804 43rd Ave Elmhurst NY 00661 NAME OF N.Y.STATE LICENSED FUNERAL DIRECTOR(PRINT) SIGNATURE N.Y.STATE LIC.# APPLICANT Omar J. Rod ri uez ©m�m �C- .• �- � 13073 PERMISSION IS HEREBY GRANTED TO DISPOSE OF THE RE UESTED ABOVE. y NOTICE: This permit is not valid without the seal of the Department �.!:;` ""••!F � of Health and Mental Hygiene;or if it has been corrected, ' ' • �, interlined or altered in any manner. City Registrar FEE PAID$40.00 DATE 04 / 11 /2020 '••• r •:• By Service Evital VR 21(REV.7/09) MM DO YYYY •• ' �'Cf Nft` lb Public Health Law Se'c.-41445(2b) 013590 Receipt Human remains of delivered on , 20 Pine View Cemetery Representing the funeral home named on burial permit Official Funeral Directors Reg.or License#;