Loading...
Eggleston, Lynn NEW YORKSTATEE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau W VAN Records Name One Midde Ian Xv FemMe Omed Uxalllmn As 11VMranolUSAmmIFwi WOYPOM71 Were Waror UTer PIK aRan Xosps mnwmnor Cily.Townwyll G,mA,,JTam 51ree1 Address 4 Dammam)Domain, Oullhnand Town,New VCM 13303 p Manuerof RtlA ©New,[Lux ❑AoMem ❑ Nomiaih ❑Smid, ❑modmemined ❑EenEing w [i¢umelenas Inumme n W MCEkaIRnR Name Tie 0 Amm SNqu Camara, Marcos 75 Gans Shad Yon, New Yes 12202 Uelth C1011ae Rod B'Wail numRr Fe/fPer NwnEn (ip.iowmrVilla OUYYnaM aim IN ❑Burial me @maerv,c^manrvnr Van"Nam ❑Emomhmam ososzveo Pexvmmcra,mlmr Mdm OCmmauu oppypurr Term.xax Vm El common o ❑ Iammx orc n:e Ramona! sealer aworxeN N Hold Aetna O y ❑Twamnom Dan S�M1innml o by Common Bahamian ❑ Oium,mm BM emery Maaee ElBarroom UM Xmxerrimmv Rum ueam ramp Numhr Name of Funeralxome CompuawreFumNGnlrc WYe Aaeaa ew hei Mo.samosa Buxng=.New ym 12ew Name 0 Fur Fo-m M,ki%Olspan'muam Whom f Pemamaaa Shuppi ud nflian Abye Address w a P.rmlealoN lan.r.nv granted am,alaoea. oTm.human rarN.lna a.eoanw .nalm ulMfeMbtl. Baal nxad OWM15,202G Ruin xad ymtsmaws cy wm.-rrbb orr�er.�rmay�g.r9 o-marma Ginnn Numher 0155 more cmlaorand Nmyrk rent mat lR risen more model ,nidled mow aea diapama of in a¢odanewmehia"Minor: W God Uniu mon �/o iuvim,d olspmnion OJ: t e a mrm VC names am«a,.i sa....dai nemedsemnorxrsmmcM1 ed Ym i : Y/IIAN Sanalu2� Due Q r BON-1BEYC KP10f2 Public Health Lew Sec 4145(2b) Receipt Human remains of T )� dcl'rvered on . 20 P V Heryr+�r�ae Ne fooervl homuiao�ed on banal penih Of CW Fvnuel Oumws Rep. mGttllw #-- -