Duane Jr., William tate of fit etaivare
STATE BOARD OF HEALTH
DOVER, DELAWARE
AUTHORIZATION TO RE-ROUTE DECEDENTS UNDER MILITARY JURISDICTION
Authorization is granted the Dover Air Force Bose to re-route
Name Of Decedent DUAHAM, WILLIAM DUANE JR.
27 Jan 148
who died 2.3 July 67
Age or Birthdate Dote of Death
Vietnam Glens Falls 1 N.Y.
Place of Death Place of Interment or Receiving Ceme y
28 July 67 .. /17.4hopor/Zee t,f1
Date Issued Authorized Signature of Deputy Resistor
SN L2+2 This Permit is to be retained by the Sexton of the Receiving Cemetery, if no Sexton the Receiving Funeral Director
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