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Montefalcon,Teresita NEWYCRKCRY THE CITY OF NEW YORK-DEPORTMENT OF HEAL TX AND MEMLL HYGIENE DEPARTMENT OF HEALTH OFFICE OF VITAL RECORDS MD MENTAL HYGIENE May 15. 202003:67 PM PERMIT TO DISPOSE OF OR TRANSPORT HUMAN REMAINS EVENT:(CHECK ONLY OHO NOFATX ❑BPOHTANEOIIb_iEayMAOOH ❑INDUCED TERMIXATION 156.2M45027- -� NAME F4LAMTaIw m YANA _ BE TBRRIIa Montafalcon 79 05 BE 2020 PLACEOF NM YOM CRY mBppx oFxmsnupilµmingxwsnmwoeEH EVENT Queens SaDDINde Canter ror RehamNauon A Norsirm of CBO1210ueens CERTIFIER xrEErcwrecuxpuaurwnrlaasxuua METHODS Oixrtwum Xn¢ T (J/Ac�Nla mO Dn : Post Pek M x.W noush snez.NL Om wx lMermeA 020MI" PLACE OF 1E cav[rtavgcxeumxr AP AVANOTo Cir DFQnAA F blAl. DATE wnl MY Imo fiFG6mox OF Pinevlew Cremelory OueenI NY x 05 iB 2020 THE CERTIFICATE OF MOUTH HAVING BEEN FILED As SODATED BY THE HEALTH CODE,AMID CAPE EoW TJ IS HAVINGGOVERNING THE POEPARATKNI AND DISPOSAL OF HUMAN BEEN COM� .ED WITH. PE RMISSION IS "LOBBY REBOUSECTEDTO DEFENSE OF FEE REMAINS AS DEMAND PAGE. PIIHERAL eCTeSnxLSHMan [w CITYANDICATE BY STATE AMA ESTABLISHMENT NEW Leaf Cremation 39W Long Beall Rd Island Pads NY No" APPLICATT MEWMr.nAT[ucEIrsEOFllxwcopmoalaxi NYSTACTI Michael Noll Crow 14105 PERMISSION I6 XERE6Y GRANTED TO DISPOSE 0I T1E qE O NOTICE: TM1IS parm6 is mlvalitl SIONN NawaIM RANTED TO DI gbAa�Y; ES P. N Health and Mends HyV nA By It It away Men WnSc@tl §� y inmdmm OrMerothmeny revinoT 9:A QV Ae9nftR YR 21 MEN MAE FEEPAm$C0.00 GATE Bs , 1� 6020 'PMA By Samw Eved am wf' Public HeaRhl wSea 4145(26) �' - U3837 1-r Receipt Human remaiva of delivered on , M_ Plm Vim U' mueq' lkcp ennn6 dre Nmml home v mwalMenu Mod FLnerel Dircuon Reg. orlT #