HomeMy WebLinkAbout1935.05.Form HAH-1 A OOMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF HEALTH
ANATOMICAL BOARD
257 S. SIXTEENTH STREET
PHILADELPHIA
Office Hours until 11 A. M.
Long Distance Telephone
To the Controller or Commissioner of
Dear Sir:
Permit me to certify that c.rker =.~cCo-;T,
- ~ has complied with the
Statute in regard to the body of -
and that the same is UNFIT for the purpose of this
Board, by no fault of his and should be buried at
public expense.
Very truly,
f~
Secretary