Frasier, Leonard Hersh PUB.HUH.COMM. Q 0 2 4 d 5
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No
042445 ..�,I►�,,.
OFFICIAL DISPOSITION, REMOVAL OR TRANSPORTATION PERMIT DISPOSITION, REMOVAL AND
,/ (Issued under the provisions of Chapter 114,Section 45,General Laws,Ter,Ed.,as amended) TRANSPORTATION PERMIT
This permit can be paned only by the agent of the Board of Health(or in towns where there is no Board of Heahh by the town Merkel the city or
town In which the death occurred AFTER the FILING and acceptance of a s tlafectory certificate of death,printed or typed In permanent black ink.
Thia section to be returned immediately to the Issuing Citylrown,properly endorsed
City/Town BOSTON Dam APRIL 13 20 06
to
A satisfactory death certificate having been filed for (Office issuing permit)
LEONARD C. FRASIER City/Town of BOSTON Mass.
Full name nl decedent
who died on APRIL..12 2006 US War Veteran Name of Decedent LEONARD...C,,.. RA5IER
bate of death
born on JUNE 25, 1954 If a U.S. War Veteran,specify what war, organization,etc.
,who resided at
date of birth
32 McRea Street
Fort Edward, New York 12828 ENDORSEMENT
and who died of Acute Myeloenous Leukemia (To be filled in by cemetery or crematory official)
give immediate cause
Permission is hereby given for(check all appropriate boxes):
I hereby certify that the body accompanying this permit was
I I Removal from: • disposed of ip accordance with its terms
name and address of original dispnsitron
Pine View Crematory, queensbury, NY
at gliu lit%i ity'sl4'' C(iviw
[ Disposition at, `C y (Name of cemetery or crematory) (City/Town)
name and address of cemetery or crematory
I ]Transportation to: on /f(t 1 t t 4 vo la
name and address of immediate destination of remains t
Permission is hereby given to: Final Disposition
.
Faggas Funeral Home,Inc
Certified
name of facility by AA, .,
Zeie-->
551 Mt. Auburn St. ,Watertown, MA 02472 (Signature of Superintendent,cemetery or crematory)
addre %T%T�� ��,
/ sue\ If there is no officer in charge,funeral director must sign and return this stu