Dickerson, Edward M Data/Tine 0& 1516413MM P.DOt
12/T170 _0]r1P
Meyl22004:00e Me0ord C.Everett 1 r> 15164136355 p. !e
t 20
OF
MYVYORKCITY THE
T'C OF Nine YONN�EOFYI1th HESUTH
AND YEARN WMENE
DEPARTMENT OF KEFLTN
ANDMENTFLNVGIENE PERMIT TO DISPOSE OF ON TRANSPORT HUMAN RENNNS
Mayl2202GOEIEAM 15624043694
EVENT:ICNEOR ONLY ONE) ®DEATH OSPCNTANEWeTERXwRTON Ded MDR WHAT
Name Fn,umu len OF
ma man uwm a.
64
22
EMW Dickerson �rw wwmrmw[¢muo'wammr uw[Mm « 2CW
FAI NEW YOMOFF xr
N' Mmllenan mount BiwN St IS
¢RTFIMI wYOM OFFara'rLeuuwzxxmn yIOOWp Ow�amn Mw[um f LCarM GeVb
xura _ on ll OWN DO o959
THAI GANDS
NADI m�wnwrTOar�w mnr.'n umwnrnoenre
p9FO5rTICH D re View Crwnabium 0uearstu . NY 05 12 2020
GOVIGNING THE PINGARLATION AND DISPOSAL ON WHAVAN MANNS HAVING MEN SDI VINAN 'a
FU
N �S Ae wrmores. IWWW Ea wwns wrrnw PAM x..eu.eme.s
MENT E.welrz HWAVEMYWNmINome.Ine. 1084 PaefiC6l BrcW nNY 00W
iShe AND aOnxrtEDLO P%O!£OFTNE PE V oABOY
NOIWE: The pvni0a mlEeltl MlFwllAe mY OI PeDWmMri1 YAAT
0 Waer W III HOUIxrt,w V k Am Men amzlm, y� AM
'nWAnsiw MweGNs.Ymunw. 0� _i A By SeEn�imErelT
wsiNev.rnn FEEPAVEAQBY_— ONE_fl;_r�10E�0_ 4':.. �0
ranee Hwm Law see. 4145(2n) q 13821
�up, I
Human remains of _ , . delivered OR_ 20 f
Mc'AwCemetery Reprc,i Din ol'Re, M1umnee# on banal pe�mll `
Otaozl Pwerel Dimaors Reo, ar Llanx p