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Salas, Iileana NEW YCII CT' YNE CRY OF NEW YORK-DEPARTMENT OF HEALTH AND MENIAL HYGIENE YI� DEPARTMENT OF HEKTH OFnCE OF VITAL RECORDS AND MENTAL HYGIENE May 12,202007,01 FM PERMUT TO DISPOSE OF OFTRANSPORT HUMAN REMAINS MW:ICHECKONLr 156-2pO440D9 ONEI ]9DFATN ❑SPDXTgNEWB TFAMIyTION NAME MMaT: pgtpyCEp1ER W1 � x: AGE Madre Sells uee uomm M�OF RO"T 71 event OS 10 20M PLACEOF HEW YOlK CR1 sAVN. ox axznrumeemmoxw er ypx®5 EVENT BROOM WDOMUII MEEkdl and Memel He Center CERDFlw xAUEamw!xuM�Luwnxsn METWD D :mEia AAPAWATwOF lycuu Ella Kdmflakv MICMIe Kdax, IFgaLL Omxu l` uE.M12W43053 PLACE OF crauETTxrax Cxewraxv(Ca usrpu arvw¢uxnwosrAre vx My RE AA" sPosITIOf1 xa Pine View CRENRI OuaensWry. New Yak MseoslnoN OS 14 2020 THE NtcATE Or DEATH OF HAVING HEALTH CCI AND ALL LWO AND IETABRONMAEAREDsPCEFXFLAwwnEINVlxO BEEN coutt:Eo wm. nwwssvcx :aHEREBY B TO plO AND DISPOSAL WS AS IDENTIFIED FYNwAL ErcamAeusxr:; I xFss yaxATE nArt�! ESTABHSHMENT D.grenw Fur a SHIPS. 104 or APpHCAMHANUMNYSTA �xPni � T __ xr sAre�c• JCAn O CrAne 7,0 ®c2)2= 10R4 FwMYSION IS HEREBY GRANTED TO CHIESE OF THE RE _{� ESIED PPOVE. NOTICE: ITSNH And MRGO HV IVBA OF Iha been ARDEJ gSAS la Medned And Mygere:a MXFy¢Ocen mnecleC, ¢' ' Mnmae oTaneme In III name . 4: I �Y�AEDY vxs1 MEN,NOR FEE PAIDtw CO DATEJJ20M 6elE AA SYSeWmEvml �w Public Health Law Sec. 4145(2b) �. Receipt 013810 Hwvan remains of c., 6 dehvered ov 26� View C—cm�e� l official Fuorc Wog @e fuaey 1p Fuopy phectan Re&Ml.ytp%RdR'mtil