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Whalen, Joseph Adrian NEWYORK STATE DEPARTMENT OF HEALTH ^ Burial • Transit Permit Bureau of Vihl Records Nam FM Miam Izsl See Mass MM W ebn lose d@M Oy Ilwar 11 "s Rmeabmy RK"t[ mYese WarorDms 151953 Nxeol OeAM1 o Mmos neHlutimor firy,ionn orYr Tam ArtelReeress 343 AMa5n Roee.OuewEUYTwm,Nvr Yak i]80e Manmrd Dem XN.Waom. ❑esieem ❑NmAwe ❑suave= ❑u,'Zmmme ❑penai:M cmtmmm., m.rT Nadual(MNkr Mama Tm 0 Mryei N Mares B Cary RUY,Orexetury Twn, Nex YvkltlDe MnlenM[h Fl@e MarilqumM &giarNumM C .TvxnorVill Ou '+aTC tft Bu ' 1 Dm [emmry.GemaPory a FWAIN Nme DNomnnem °M°°n°ro pamva.mmi+lry ❑ wear ©cremam puesa4 mm.nwrM ❑mnal n ❑ nRemrvat DataElupandAbrlw ald ortar jow Manor ❑T,,,m ton Dat` SEi. l m me Hytanmm sn o:rer Optimism ❑D"lloomem Dm temtery Mmrr ❑uinmm.m Dm rEmmrvnaare,e RrmhlrruNb hgiNalionnumhr Norm of Funeral Nome Mama D Baw Fumal Kom Ut19 Mares 11 LtlspaYs 5t Dun:ab:ry,Nm YW 1 E8M Nam of Nmral Gm:Matls Di spaMon or to WMm Rmainrx5ni .If Offer No,Abe Arrive" ParmlaMon Is hereby gmotad m Elspeee of Von human remeNs drsombeE above as InEIwM. Dm Mmm 06134120 Rear, ..f Viulsaiaks rtm ,,WupaAtot,m,F4rt+^u^5' WAO twww D19M Rosh Y5) pla pmovaturt 1WYak I renavlNarteremm�rdllmee.m.mwmlN'.e alvce te:emrmaaam.an:aanawrfnmi,pe:mxnn: Dom of D, puritan 41512o pled Oismiom QL SO cMm.M artyommaw 8 N....fsm oc r"nincnaryeapre:nyer q m ,red m spature rYN CONa5551NMIpsMu Public Heal Caw Sea 4t45(26) 013898 Receipt Human remains of "T �\' � delive on Floe VIM Cemetery Repfccwmg the Nnenl home nvnalon burial Mend �n Puwml Dam mr Reg 11 Llllnsep