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Steeley, Karen M.
NEWYORK STATE DEPARTMENT OF HEALTH _ - Burial ' Transit Permit Bureau of di mai Name Fee Middle Inn Sell gren M,Snemy OsedhM aly IIWiliSAmN fortes NSI1&✓[OW n1 VeYe Weror Neles f Pa'ed RaM1 hospi nations or z c ,Townorud dealing Town ShmAddrtn 117 RWv strMt Wemameal Toedi New Vpk 12M wMmoerofRm © Nawalwn ❑Araidem ❑Homicide ❑ScmMa E]wxmlmined �rcroim rrtmnsare: in.si b w MNIUIGnmer Name The, mmm.caedn camw Atltlio[ IaW m FaM 9,Leea dwvpa Tam,mi 1'1Sea Daen QnificWFlktl Olmiat l6rmM Ik®f¢i NumM c ,Tamaud aeon u ❑gunal om Cemererv.cremawrvorfaitiryx.rile ❑Fmembmem evvrmzn Rlwviewcremmoly Address ©cremaion a..nmmrvram,xma von ❑ oowion o ❑ homes Om Rae I@mmetl F sad/, .neyxeM Hold Addmn 0 Q Traneionaun NM as of bye mne shadow Ever normal ❑Diainmmem Dam C'merary Addi", �Aeimm�nenr one CwmeervAddle[e PermdlnuMro P.®nse Name, NamenrfuneaI Hmme Aoi Naha,Fummi %me =A Addis Nam Man St Vim,,m q,Nam,Yon,12e85 Name d Funeral Firm Meting Oispaaion or m Whom ♦• Rammi are Shopead.If shared,Abre Addmn W 1 PmmiWWn Is M1enby granted fin disease WMe human nmailu tlaeWbetl above as lntlirbtl. Duelssuat o DtrA90 9rysrardviblyAiaks ard,i 9rtlgdrEleenunvnRySgned/ G(amanl NiSnm Ni Saari %se Worsened. Nave YM I rcmlYNydwrtmeinsofMedxNenr ides,?iM ebee aertdblaatlalinaxortlan¢wi@Mi[Rnnilort Drool Diapi SIMIEDED Bared DisPoamm S Miami W Q /xrbJ Mds'^W1 Gewmeb/ gName WSemnw Rrsm in CM1agoT Premise[ (� ED 6W ep W Sisnawre The, �4 l 0011'6551NMIP1012 Pobuc HeaddiLaw Sec.4145(2b) 013 664 Receipt Human remains of /_ delivered oil , pp7e i i woe view Cemne�y t Mew Rep v'endne the mnmul enure named on panel peat Rmn'a1 OL'e9on Rey. or Liwree ll