Alden, Christopher COMMONWEALTH OF VIRGINIA DIVISION OF VITAL RECORDS AND HEALTH:STATISTICS
DEPARTMENT OF HEALTH RICHMOND,VIRCtiNIA
i OUT-� TRANSIT TATT PERMIT
. FULL NAME AGE
.� OF DECEASED CHR1 STOPHER SCOTT At. 20
(City or county) , ;. - (Montli-tAy YMr')
, PLACE OF DATE OF
7. DEATH Fairfax VIRGINIA DEATH August 21, 1986
q 1 z p SEX RACE OR
v1 - ',Sal e- COLOR- V111 to '
Cd W C f 2,, (City or County) (S5at*- a .
bE5INATION TO WHtCH
t�.+ t ° REMAINS.TORE-SENT Alen Fa Falls -.�i' Cs• N,Y.,
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w . - A Certificate of Death having been riled as required by the laws,of this State, or'condit outlin+ in
•. 3' regulations having been complied with, permission is hereby given to:
a
•. Funeral
aDirector Money & 'King Funeral "brae Address Vienna, VA,
N_; g To transport said deceased as stated
DATE .REGISTRATION SIGNATURE OF /�•
ISSUED `8l22186 DISTRICT NO. 106 REGISTRAR �, ,� /� '
' READ CARE Y
Ft riS' tAR,: This:C tyof State"Transit•Pertnit'is to be iss only upon rec i}xt of omplet tifieate of
' l fhr,ot'tut der otliei'i nd$o ns ou ne ,in'regulations. l . l entergencie ri a ay iz ne't1 a State
of Vital 1tecordsaa d ftealtbt Statics.at the exp a of the apphcem for
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' f f m xd d ; t-,izts t t or any'planner ot ..r.,l&� 1tbe ,ot4t fthe,: t e'ofVirginia allist be obttiio trio tt'. =0r ttou on carrier-this rrntt should-be enclosed inn-a strop envelo e
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~' - to t` a sn Niing Case: NO�-'1 .1.,sit pert is req
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