Mccarthy, Greta NEW YORK CITY THE CITY OF NEW YORK—PEPARTIAENT OF HEALTH AND MENTAL HYGIENE l�
DEPARTMENT OF HEALTH OFFICE OF VITAL RECORDS
AND MENTAL HYGIENE PERMIT TO DISPOSE OF OR TRANSPORT HUMAN REMAINS
April 30,2020 04:10 PM 156-20-038561
EVENT:(CHECK ONLY ONE) ®DEATH ❑SPONTANEOUS TERMINATION ❑INDUCED TERMINATION •-----------ceimFfeif=NUMBER
NAME First,Middle,Last AGE SEX DATE MONTH DAY YEAR
OF (YYYY)
Greta McCarthy 87 1 Female EVENT 04 21 2020
BOROUGH NAME OF HOSPITAL OR INSTITUTION OR STREET ADDRESS
PLACE OF NEW PORK CITY
EVENT Bronx 3900 Bailey Ave,Apt 11 M, Bronx, NY 10463-2726
NAME OF PHYSICIAN OR MEDICAL EXAMINER'S NUMBER CREMATION APPROVED BY:
CERTIFIER METHOD ❑ INTERMENT CREMATION OF ME/MLI Terra Cederroth
Kristin Hord DISPOSAL ❑ OTHER M.E.CASE# B20021744
PLACE OF NAME OF CEMETERY OR CREMATORY(OR DESTINATION) CITY OR COUNTY AND STATE DATE MONTH DAY YEAR
OF (YYYY)
DISPOSITION Pineview Crematory Queensbury, New York DISPOSITION 05 01 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.
FUNERAL NAME OF ESTABLISHMENT ADDRESS CITY AND STATE N.Y.STATE REG.#
ESTABLISHMENT Schuyler Hill Funeral Home 3535 E Tremont Ave Bronx NY 01559
APPLICANT
NAME OF N.Y.STATE LICENSED FUNERAL DIRECTOR(PRINT) S NATURE J N.Y.STATE LIC.#
Jeannine Carbone la ureElectronicallyAuthenticated 10534
PERMISSION IS HEREBY GRANTED TO DISPOSE OF THE RE r�QUESTED ABOVE.
NOTICE: This permit is not valid without the seal of the Department ?�!�•••�•�� AW-v,la �
of Health and Mental Hygiene;or if it has been corrected, • •
interlined or altered in an manner. �• •"
y ; ` Cty Registrar
VR21(REV.7/09) FEE PAID$ 40.00 DATE 04 / 24 /2020 •* . •. By_Seryice Ev_ital
MM DD YYYY •OF �
Greta McCarthy
Schuyler Hill Funeral Home
TR050120 FH06/C09/050
. i
Public Health Law Sec. 4145(2b) 0 1 h 6
Receipt
Human remains of delivered on , 20
Pine View Cemetery Representing the funeral home named on burial permit
Official Funeral Directors Reg.or License# r