Minuche,Arturo A �35
NEW YORK CITY THE CITY OF NEW YORK—DEPARTMENT OF HEALTH AND MENTAL HYGIENE
DEPARTMENT OF HEALTH OFFICE OF VITAL RECORDS
AND MENTAL HYGIENE PERMIT TO DISPOSE OF OR TRANSPORT HUMAN REMAINS
April 23,2020 05:19 PM
156-20-034267
EVENT:(CHECK ONLY ONE) ®DEATH ElSPONTANEOUS TERMINATION El ______INDUCED TERMINATION CERTIFICATE NUMBER
NAME First,Middle,Last AGE I SEX I DATE I MONTH DAY YEAR
EA )
OF
Arturo A Minuche 83 Male EVENT 04 23 2020
BOROUGH NAME OF HOSPITAL OR INSTITUTION OR STREET ADDRESS
PLACE OF NEW YORK CITY
EVENT Bronx Jack D.Weiler Hospital
NAME OF PHYSICIAN OR MEDICAL EXAMINER'S NUMBER CREMATION APPROVED BY:
METHOD ❑ INTERMENT � CREMATION
CERTIFIER OF ME/MLI Kristin Roman
Revathi Nair DISPOSAL ❑ OTHER M.E.CASE# B20024779
PLACE OF NAME OF CEMETERY OR CREMATORY(OR DESTINATION) CITY OR COUNTY AND STATE DATE MONTH DAY (SEA)
OF
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.
NAME OF ESTABLISHMENT ADDRESS CITY AND STATE N.Y.STATE REG.#
FUNERAL
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 6� i ureElectronicallyAuthenticated 10534
PERMISSION IS HEREBY GRANTED TO DISPOSE OF THE RE UESTED ABOVE.
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. �0 eg
VR 21(REV.7/09) FEE PAID$ 40.00 DATE 04 / 28 /2020 '000. 000 By_Serv_ice Ev_ital
MM DD YYYY 4ryOF
Arturo Minuche
Schuyler Hill Funeral Home
TR050120_FH06/C09/042
Public Health Law Sec. 4145(2b) T ')1 3 7 2 7
Receipt '
l ,
Human remains of delivered on , 20
Pine View Cemetery Representing the funeral home named on burial permit
Official Funeral Directors Reg.or License#