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Thomas,Clarlene G. p— A 703 NEWYORK STATE DEPARTMENT OF HEALTH Bureau of Vital Records gur„l - Trenslt P!I'111R (mename FlT Miaa@ Iasi Sex Dow a raw, G.Ranee FanLL mere MM1 pg MVereor of UDisk Armed Fortesr oini need, 69Yra Waror Dakf f PUaor DeerM1 Hospi J.ImMutionor W ]MCity.lawn or Vital lay rsrsamo TovDeanAreel Aaaresf SB No+A plte. U Unionist Town Nam Yoht?NN °w Mannerm vnote ® Namrm wed ❑Retail ❑from.Md ❑so:ix �uneWmime �venemg V [irtumCx[ef Inver W Metliral Qnitler game Tnh cnrekgw Mi Do dadree 1 W PUFF 5t On...Fella, rbw YqX 12301 DraM[enitieam red Didi Number RryhrNumper Ciry.Townor Vi(l a Law Wmme Burial Date ymHem.memmory m many Name � Emomdmenl O6N4/AA pmaw'low apry Add if ©cmimm, QueensWry Twin.Name York El imnation O ❑ Remmnr Data Name Viewed xndlm anaror Held Hold Addreae 0 w ❑Traommi Ca Tommon nn Di" sni Carrier vemnagrm Dammam Dale Grtettry Addrtff ❑Endowment man gememWmilm" PermH Mfuedm ReginTon N,i wrieol Fnmralrome EtwasunNtwmi DMtt Adi 2C cnmcn strml PD LLV SW.LeFe Lumne, NawYM logi Name of Formal Form Making Deposition onto Whom f hmamf aresnl a.nGM1erman Aam � Atltlrerf 6 W M1 ParmleYon Is bayby granted bReaches of Me Neman remained deacribatl shove as lnaleHatl. Din HSUM marmea D ygiemr or vital Steisfios Cynthia Smemad Clevlronl[ally Sign) 4Wmd Dmrin nnmxr sesfi Pwe uke Wxene. New Yon I awry mat the nmemant the devedemweighed name mm elfmxa of in accordance with Am mrmit on: vae Of Miami Llala Plxeor Dipo ion L � I them W Q �bw�0 /mom Name ol5ealon or Rrmn in[Aarye ofP {r MI tort pR eWoN W Smmew /aixa Did DD1115551m/191P1Ma �/ JL�blicLaw Sec. 4145(2b) "- - 013896 s of delivered on 20,4 wry Representing Ne foam]Fne nmed on bueW Puoerel OlteamrsRe n F9^^It g.or