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Harrison, Karen A. • � 7z� NEV?YORK STATE DEPARTMENT of HEALTH Burial - Transit Permit Bureau of vital Records Name Rm Mmme fan Se+ A Mermen r...la Doe Fare, Dead AN, It velnn of uS Armed Met n Years wwwon[ f. Pine of mipfl lFn Mbnnr ad GIy,TorenorYal a Mmloa5x a ArtAAaereu t2ltlNonw.Sereloy SPanP.Nn YM t}BSs a MannerM Dead ©xaunl Cvw ❑k,A,M ❑xomieke ❑Smib ❑raroa mmea ❑Panama W Clrt I'"So aion w Meekr""Ma Name Title Breen MMM NO Adam, 510 dome,nn,e,Fear Sm flow.New y<m loam board Cennkale filed oi4an former RgNrxom r Cay.TmlrrrVhlm saradepe ❑Budd Dataa CemNn ,Cremalrryc�Fnililf Nan ❑E dddmeM ox"' 0 "n•vewaamMnry Address ©Cmmmon o,...wyTon New vex El Or i ❑ amrvat ome Plan Pe�mrea aMfor rnepr wla w Hde Adlrtsa O N ❑1m,a A Vn Sdimmem O eyamhe I fkmnau, er ❑Di,mmlmeot Door OoMMq Aders„ ❑uinmam Vale amaev Aeere„ Permd Issueab Reform,Number Adam, x,Mxnne cunpnuon AWrea OR Mdoe Are,flsnxga Spaw New Yon W h M mealPo Shddp rm Memo erflen ,itlonorb WMm F.I Adroverare Sllppe41101Mtldei Afore € Aaartn Q W tl' PxmlWonb M1xvby pnnNtlb Jlepox el the M1umn nmalnv Oceulbetl above dintlidbtl. Dare Mande mttrzozo pegin" beMlslaine: xs.wd Fru.°°^ xNM w m oi[ma x.mber riot code s.ampa spa.M., W.vm, eWmmaMe reman[dineeeeeemlieemisea Waco...di,maeaam:rer4new11 mi[Perm � Venf Eimer" Llzl'A Me,aunposm, nnn f Pat W Wp xanof sennn,hrsmin(M1agzMPp 'of, q ry eP�M mL sanaart E rde Dax-assslmnfl P,de wmm realm Lew Sec. alas(w) 013918 Receipt Homan remains of delivered on - , 20. pne View Ceme¢ry Reprtveming We funeral home owed m Weal Prom Official Funeral Direttors Reg. oe Llansell