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(')~ 0' "Tl '" CD ::> ~ CD fil ::ar-O I OJ en mm"Tl s: en (')::acn ... m'Sm $. :gcnm . ~. .. -40> n "Tl~ .. . :!!s; ." ~z :;- ':'" -4 > 0 c ~o ... i: ::> '!!.. "0 ;::;: c;' .. (') (') . ~ ::r .. a ~ ~ i ~ r > w :1 0 ~ c a CJ1 -: ~ c: -..0 07/06/06 THU 09:23 FAX 13342062682 CENTER FOR HSTATS 141 001 (itt.. . .. . ~ .. . ' ALABAMA DEPARTMENT OF PUBLIC HEALTH CENTER FOR HEALTH STATISTICS Authorization for Out-Of State Disposition Effective May 21, 1992, the State of Alabama no longer requires the~ aisition of a p'ennit to remove a dead body from the state. (Code of Alabama, 1975 S 22-9A) I' NOTIFICATION OF DEATH FOR THE FOLLOWING INDIVIDUAL HAS BEEN SUBMITTED TO THE CENTER FOR HEALTH STATISTICS. oStJ9 form to be used only when deemed necessary by the funeral home. ADPH-H5-131Rev.8- ,\"