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Styles, Jean serial No. County, ` - 4 READING, PENNSYLVANIA Township, CERTIFICATE OF CREMATION or HENNINGER CREMATORY Borough, or RECORD FOR CEMETERY AND COLUMBARIUM NO. City, Date of Death, April 12, 19 61 Full Name, Jean E. Styles Age, 35 Sex, Female color, White Cause of Death, Bilateral Mammary Carcinoma Place of Inurnment, Mortician, Wilson Funeral Home Address, Pottstown, Penna. A certificate of death having been filed in accordance with the Laws of Pennsylvania, I hereby authorize the inurninent of the ashes of the said deceased person as stated above. HENNINGER CREMA RY Dated April. 14, , 19 - Per: Cremation permits should be delivered by the mortician to the sexton or other persons in charge of the cemetery or columbarium. When the ashes are shipped to a distant point requiring the service of a common carrier, these ashes are considered the same as sterile sand by the department of health and required no additional permit or affidavit. ) --;\\ 4Zz, ‘Ni Ci4 1;L,,