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Berrios, Jose NEW YORK CITY THE CITY OF NEWgORK-DEPARTMI W HEALTH AND MENTAL HYGIENE Vb I DEPARTMENT OF HEALTH OFFECE OF VITAL RECDRoe AND MENEI HYGIENE May 06, 202407.46 PM PERMIT TO DISPOSE OF OR TRANSPORT HUMAN REMAINS 156-2D EVENT:ICHECKONLYONED DEATH OSFONTANEOUS TERMINATION D INDUCED TERMINAMN mA , FEW AH, PASS SALE I "I'm SY NAME Jose Bamoa I 41 I MINES ab 04 30 2020 III NAME Orr10i Or ummrtuxwSUMMITsMT AROWS PEACE BE NEW YOIIK COY EVENT Lincoln Metlicel and Mental Hei Carter CEAlf1ER xu2orexraeuxoxmewLvAmwrsxrsxumeMETHOD IN OR IA Nr[mexr j[crtmc 1f MAtOAFD¢Iln¢C9V91'I OF D lKano L UOnn W lA ss.B2004IM PEACE OF RrrEmaruv a, AAAroxrma un:.wr 1111.Wwm A.srnre wxrx wr r�l O SPOETON OF xa Pine VIRW Crematory ' OPERE ESSED, NY DIS ANDREW 05 OT "W THE CERTIFICERATE OF DEATIM HAMI MEN FILED AS MEASURED By THE PREEMLITH CODE.AGO ALL LAWS ARE REGULATORS GAGAVERNII THE PREFFAIRSION AND DISPOSAL OF FUNERAL REMAINS HAVING BEEN COMPLIED WITH. PERMISSION He HEREBY REQUESTED TY DESPROSE HE THE REMAINS AS IDENTIFIED AMENE FUNERAL For=_cTARLu W SS .xonArt ni emF E ABLE xMEW NEW Leaf Cremation 3S30 Long Beach Rd Island PERK NY 02M APPLICANT MicM1ael N011h iaxsERr�..x..RwmmiRx � _ � 141KOS � P MAY PeRMlssory lsHEREBY GanxreD rD BEDROOM GF THE RE ESTED naov peaut not Writal ewanom Me Seal of Nie DepeNnem p$f q ., 1 / ���� o1HReXn ora MR in N nyma;w HRNelreax roneciN, ; .QiAHO�P/A✓ - Mmnm D,anB.Pa ina�v m.xeR,. i3 Ciyylliei vn]I IRE, FARM FEE: PAID$40.00 DATE wr 04 11020 jw. 0. By 6Xvl Eiul w con .....Ie LNblicH�ItUwSm. 4145(2b) eipt 01379J�7 , dbveredon Ponwl DirtMnRey.m Wcmuetl