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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
AL EXAMINER OF THE CITY OF NEW YORK STATE OF NEW YORK ) SS.: COUNTY OF NEW YORK ) CERTIFICATION AS A BUSINESS RECORD I have been delegated by Barbara A. Sampson, M.D.-Ph.D., Chief Medical Examiner, to certify and authenticate records of the Office of Chief Medical Examiner of the City of New York ("OCME") p
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
Field Office EFTA00063517 OFFICE OF CHIEF MEDICAL EXAMINER OF THE CITY OF NEW YORK CERTIFICATION AS A BUSINESS RECORD I have been delegated by Barbara A. Sampson, M.D.- Ph.D., Chief Medical Examiner, to certify and authenticate records of the Office of Chief Medical Examiner of the City of New York ("OCME")
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
ates of treatment: Signature /Yid flizil• Relationship e-A 42' Date EFTA00133111 • . EFTA00133112 NYC Office of Chief Medical Examiner Barbara A. Sampson, M.D.-Ph.D. Chief Medical Examiner Name of Decedent: Report Dale .4 Time: Place of Death: 421E 28th Street Medico-Legal investigations New Yak
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