Meyer, Ernest 5,fc:IIIIINIIIINIII I _ I = rn . I�INIIINIIIIICd(c,IIININIINIIN6�11(r.,111NNIiIIIINIL�IUr..iI11111NINilii�.{=�=
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.72 Troy, New York, December 18, 19 61
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The undersigned, being on this date the Superintendent in charge of the
43 6ar?1irr .Earl irinurial Qi11aprl auk( Trrntatariuut
ERNEST L. H. MEYER
hereby certifies that the remains of--
rzi
16 th Ifel were Cremated oc the day ofDecember1961j_
s
That the burial permit, pre-requisite to the Cremation of the Remains,
accompanied the same, and that it shows_ December 14, 1961 as the
—_T— date of death; carcinoma of prostate with metastases to
lungs as the cause;
dill
MEMBER and rzzi 80 as the age.
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1 _ @t (! ardnrr Earl Memorial Tippet auk' Trem<itnriuni
I OPERATED BY
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r 1 �� TROY CEMETERY ASSOCIATION
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CREMATION
— Superintendent
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ASSOCIATION OF AM �(A THIS BURIAL CERTIFICATE SHOULD ACCOMPANY THESE REMAINS TO THEIR DESTINATION
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