HomeMy WebLinkAbout1935.08.Form HAB-1 A COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF HEALTH
ANATOMICAL BOARD
257 S. SIXTEENTH STREET
PHILADELPHIA
_,~
Office Hours until 11 A. M. 9/
Long Distance Telephone / ~j ~ v
ll/l~ G
To the Controllez• or Commissioner of ~:Gf'N
Dear Sir:
Permit me to certify that .~~ ~
a ~ ~~'°- ~~ ~ ~ ~ '-~ ~~~ has complied witri 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,
~ ,.,;./
r
Secretary