Cacioppi, Mary REMOVAL,TI`AN$IT,AND BWRIAL PERMIT ' , , k L, ,.'
VS-9 REV.2/84 STATE OF 4 MNEC11 T, PA � 4014EAL71.1 SERVICES ' I/.?'7/1'J
f' R4ON T 86418; 6" .'
9. THIS 1�RiA #ai s sufficient r the removal of a body to aNhy �, it:NOT a per t to -rye,. For that, a Crernatton Permit
town and also f* Interment; b, accompe►ny Y, and mut £, 4 ,'must be obtainedi ,.•. :,n t ithiS perms
be 9Man to hi.oha,Ie of cemetery and endorsed at bottom by
sexbn who they forward it to he registrar of t e town wheal the `
cemetery iS iOcat ! L+ �ry
PE tMI D TO R� % I�ANS!?(~hl't"/it#tY 114 Bo[y.' ,a' 4 [3 AT '. �" ` r,, c7-- , , , ON '
'' ' ' 4 ' e.-4,1:, ,
ioppit.
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itro/ea
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TEMPORARY DIS4.
, , ,, �'f I1iN(if bo h r ) t"
FINAL D q•a •N(►virle arse! (81 -or )
t ���I � '+lei ' A4
'k . ,
tssUED TO(P�rre° or � � (-� // (,� y Q (n emdatiner,
1.‘441
et4t4i.
Cert ,required by'state NE L:-': ') 'i ) TRANSIT PASTEp
!have been Misted sndrecoriled. /
Body has beery pretiareci m adaordance / � /. A.'' A 4 "
wits,the rca �ltn cats a.
SEXTON'S ENDORSEMENT CE (- l#1r` % ,