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Williams, Phillip NEW YOxK CRY }xECnY OF NEW YORK-CEVARTMENL OF HEALTH AND MENIAL HYGIENE 66� DEPARTMENT OF HEALTH OFFICE OF VrtLL NEWARK AND MARN III HYGIENE PERMIT TO DISPOSE OF OR TRANSPORT HUMAN REMAINS nay I z9zD HYGI PM 156-20-040726 EVENT: CHOCK ONLY01do WJOEATH ❑SPRITANEGUSTERMMARON 0INDUCEDTERMINATION NAVE Phillip Williams 64 Male EMERY W 29 2020 PLACEOF NIW YgtILRY Cwx EcelmmxmxemvrmwamNa.wwEar EVEN! Broold Univemniv Has dial of Brooklyn cERTFlEP x�m PHYaicux as NNI unvNEVE Nuns Tm Uwrtnxm jj naurt (Ia�Kesxn Roman VaiDhavI UOVIn L UPINEaPLAN rn lne A,K2Wdi 11R cE OF o.arn[rtN.o.w,,..,w.rcaoEs,w. cenevPomwuN,.wos..rtDATE wn, M, I m MSPGmON x Pine NW Crematory ruN Queensbury, NY MOLAVION 05 OS M20 HEALTHTHE CERTIFICATE OF DENTH HAVING BEER FILED AS REQUIRED By THE REGULATIONEr GOVERNING THE PREPARATION FIND DINVASAL OF HUMAN REMAINS 3 sEEN COMPME AI�WIIM PERMlssxw Is HEREBY REQUESTED TO DEPYSSE OF THE REMAINS AN IDENTIFIDDABOVE NAMEOPESTABLISTMENT ADDRESS wmTE no!MY, FVNERA ESTYIIexM xrt NW Leaf DremaOm 3930 Long Beach Rd Nlerltl PMk NY 02058 APPYCAXf xwEn NY.mPTEhREhs®EuxEwdacmlew vAhuc.M Michael NY idt05 FEaMIEE10Il IS Me f DIFFUSE)TO DISPOSE OF THE RE ED ABOVE xoTICE: Of HPah MH IFA Mental HVIh Oa aealm lee consclam �•••': mease MGM!MaxaI Hyga arrow. ARE been colranee. ImMInM Pranahae In aRy llhanlmr. �:. �$ CIY Ibgb6R Me 21 TREY.rme FEE PAiDsw9) Mon ME m 311'A 4w.uxi+d By Sen_Evial 1OPoetic Healf Law See. a)45(2b) 013794 Recmeipt Huan remains of "' d re eLve on �' i . 20 _ [ t Nnevlmt qrc epee Rsrnw�g forced home nvnetl oo bueial poetic fitiel Fuuuel lliredors Reg.mLittnseM