Ayres, Albert 5---) tate of Aelathare
STATE BOARD OF HEALTH
DOVER, DELAWARE
AUTHORIZATION TO RE-ROUTE DECEDENTS UNDER MILITARY JURISDICTION
Authorization is granted the Dover Air Force Base to re-route
Name Of Decedent Albert B. Aea
Jan 6 ,32 who died Feb...24 67
Age or Birthdate Dote of Death
Vietnam. .G1 e n..Rana,.••N Y.2. •••
Place of Death PI Interment or eceiving
•
Mar 11 67
Date Issued Authorized Signature of Deputy Registar
SN L242 This Permit is to be retained by the Sexton of the Receiving Cemetery, if no Sexton the Receiving Funeral Director
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