Wood, Muriel NEW YORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit
Bureau of Biostatistics-Vital Records Section
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❑ Reinterment Date Cemetery Address
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Permission is hereby granted to dispose of the hu n r a s escri above as Indicated.
Date Issued .,__5 -,2,4 p� Registrar of Vital Statis' s �9 ,
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(signature)
District Number ,SG/ Place J /-,cr./
I certify that the remains of the decedent identified above were dispos in accordance with this permit on:
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DOH -1555 (9/86)p 1 of 2(formerly VS-61)