Partyka, Travis Michael li
EDR: 000044444945630
BURIAL TRANSIT PERMIT
IRA v,s. MiCtiAEL !PAU.irYKA ,
....,. ,..
1 jANUARY 24 2021 10 iit....4".tix.- fit,',;tyt .i., .. sli.,_:.2.-,&tit)L;itit-tf;ii,_at.
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:-.,_t• ›r..,..t.tf',,,,:', ',:i,.t,,It e ,EL PASO Et PASO TY
,011EENSBURY NY
1,,,f_rf7,f7PIO) ,„..,„y.,,.,...pe-L,........_,.. 5054 D9NIPHAN DR ELPAS0 TXTtSt9.32
RECiBIT RAP EL PASO COUNTY CLERK IEL PASO 1EL PASO i
irn ;!
A certificate of death having been registered or completed in so far as possible;permission is hereby
t ' given for final disposition,transport,or removal of the body from the state of Texas.
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6:1-4,'\16e1.1-41blCer.re,... I
FOR VITAL VTATISTiCS ONLY
ANtdt'sRY 29 2C:21
Pec,iiiii Q-1.virl'Irorc\.C71,17,
1 \,,,A 7, \i(
r.,,,,e' 7 'G'i irrr , r? JAN 12 2021 ,
,,,,:,,,,,,,,,,,,,a,tac', Oa'eatAa-,a i 4.a !als.. 4,-,7 .:,- 'r,",1- r•rr r Cro
,t,, ,,,,,,tr, ,i ,,,,QH.,,,,,,;tri 11,7 fttotstt di as needed A copy of thf5,permit is to dr.:cod:pant,. the tfool,, ,r1
trans,. I,r fir''...,-l f-c OlIllsrl,lic'l f,,.e ti"ii.ii 1:.suan,:e of a Burial,transft Permit
tt;An t,,,,rototete de,ith centfic4110 Is used to obtaal the Burial Transit Permit the registrar MI validate that the body
f,QC.:,7r.j fr:,.?low Crrjailler Of O71'7.75e Of,.'1,-'-WI Leffe issLlind the oefiffil to of"SLIft"Itlaf rl 7r7lillf":lekl0 dealt-
o'r-ArcOri Cr.)114,ifrled in so 1,1r.1...',r4OSSIt.4:e meant;We tniotto,O 0,;i=1,11,,N la,liii ,l1C,:ed`aed
alfath Mace of dean)and fuoofal dircctOr'S Ifff(rimat,on tS :061',.)IttteU Itl a tea.",
Lf.t.La-, s "t t.r_t., t Of ttottII' Ma),net be c our p,e1 c d lt Is the leSOOnstthitty of Ow f'01b.te-ptet,ete,,,,1 let,
Of t-roottt anq cLta,PItifr Ow Buthe I faefat Perfist to aSsure that!Ito foit., .‘„oottt.,Ieled Cettfic,..Ite of Dead,
f-lf-1 as uert as isossado
sl Lefa ,,,,,,to state stature below.a cle.id trr:oly Coll frle Cq.:nlJted ti t;totttattoo AuthOrt:dttort Ittust he stoned
&et tsttood h-i It, mothcal extint,nor or tustice of the Peat e of tht,county In which tr..e tiC4ittlOCA:w'ied Sh,:,,a'aing
t'141.••:!r to,for),y Aril':pothtett tod of Mai no autopsy was necest,;:ify If ao, 11011e.1 is Leind 0,m:bladed by Ihe
Jr al ettt.rtmett r Or tuStse ot the Its.tdt,tt tilittro.-trh%Itton for(-lomat oo hOrit The nit exitoolet Ot turbot Ot the
ear, t. fer4,..afett
[l"-DC ll,l'alIf',Oh 2r, TAC Ti 181 2 §1111 "...11
Mario A.Rascon,M.D
Chief Medical Examiner
hfri'vrii
\ Juan U.Contin,M.D.
Deputy Medical Examiner
Janice Diaz-Cavallery,M.D.
COUNTY OF EL PASO Deputy Medical Examiner
OFFICE OF THE MEDICAL EXAMINER
AND FORENSIC LABORATORY
4505 ALBERTA AVE
EL PASO,TX 79905
TEL.(915)532-1447 FAX:(915)532.6630
CLEARANCE FOR CREMATION
OFFICE OF THE MEDICAL EXAMINER AND FORENSIC LABORATORY
I,Juan U. Contin,M.D,Deputy Medical Examiner for the County of El Paso,State
of Texas,do hereby certify the
PINE VIEW CREMATORY
of OUEENSBVRY.NY,pursuant to Article 49,25 of Vernon's Code of
Criminal Procedure of Texas as amended,that an autopsy was
f] Not necessary,[X]an autopsy was performed,on the body of
TRAVIS.MICHAEL PARTYKA
Whose death occurred on the 246 day of January 2021,, in El Paso County,Texas
and further certify that said body may be lawfully cremated.
Given under my hand this 1't day of February-2021.
1
\. an U.Conte
Ij►eputyNte cal Examiner
County of El Paso, State,of Texas
Y �
Public Health Law Sec. 4145(2b) 0145C4
Receipt
Human remains of delivered on , 20
Pine View Cemetery Representing the funeral home named on burial permit
Official Funeral Directors Reg.or License#