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d with the decedent that I have been authorized to remove. Released B : Released To: (Mortuary Technician) (Forensic Quality Specialist) 13247 Schubert, Stephen (Funeral Director) (License No.) EFTA00130108 FUNERAL DIRECTORS STATEMENT OF Avon:May Ti,,, matemem rs mute kr the Pee,01.0 of inONing
/19/201910:57 Entered By: Notes: Request No: 1905197( ) Note Type: Status Management Department: Pathology DateTime: 08117201911:16 Entered By: Edrs Service Notes: 19138788_UPDATE_20190817_111227.pdf Note Type: Status Management Department: Pathology Date Time: 08/17/201911:15 Entered By: Cms System
authorized to remove. Released By: Released To: Demon, Sneyder (Monitory Technician) Verified by: NI udd, Joel (Forensic Quality Specialist) Schubert, Stephen (Funeral INrector) (License No.) EFTA00063555 RAOUL DIRECTOR'S STATIMENT OF AUTHORITY Ten lini (nal it reads 1w tae purpose el inclato
19 09:36 Entered By: Men Naka no match to records. Delta:me: 08/122019 17:14 Entered By: Nicholas Schultz Dater/me:08/1112019 19:40 Entered By: Edrs Service Datertme: 08/11/2019 19:40 Entered By: Cms System DateTime: 08/11/2019 18:11 Entered By: Sneyder Desousa Cotentin: 08/11/2019 17:41 Entered By:
at I have been authorized to remove. Released By: Released To: (Mortuary Technician) Verified by: Mu , oe (Forensic Quality Specialist) 13247 Schubert, Stephen (Funeral Director) (License No.) EFTA00133129 " • EFTA00133130 FUNERAL DIRECTOR'S STATEMury OF AUTHORITY Inn statement s mode ice
om 07/23/2019. These were entered into the CMS record. Note Type: Status Management Department: Pathology Dafertme: 08/11/2019 19:40 Entered By: Edrs Service Notes: 19136788_UPDATE_20190811_193631.pcif Note Type: Status Management Department' Pathology DateTime: 08/11/2019 19:40 Entered By: Cms System
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