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Hopkins, William H. NEWYORK 57ATE DEPARTMEN70FREALTN Bnriel - Trans' �75j Bureau of Vital Record: t5�2�Ad& Fn1 Mieek gd:m;ln7 5eH nHo MlwMabR Ag Il Vm,,W US Atmei Fortesw MYg Wamt Need 5L10 MlM1 HospilaL landsmamttVix GnnvNe $irtetg &I t Hu anmDeam ®xwmlf.u,e ❑Azeent �Ibmkide ❑ QEDImeniufifw Name L<onaNCNmnAddresslmn St.Cmnlb Wage, Naa Van II8t3enTrale Flkd Bintit NumkrwmmorVi Ga ll SYIS Bull Gale fenmay,femwryaFsilRFNam ❑ rossud Emomnment@0 pineVbs'6vnetuy AUDI X❑Crcma n. OuesnWsry Tmmo.Nary YnM1 ❑Dismis oDFa l Dme pinta Rammed p andwr ammmeM a Hold Ali 0 ` pTranspomtim Gab Palmer = Blamed Carter mmnmw ❑Diabermem °be femm[ryAblass ❑Peimemem Dale cemetery Aaertaa Minns i as Regiseaun Nu mM Name of Funeral Home Aae.vder now rosy Hans NG>T Address 3900 Main St.Warremenot Nmw VOM1 13085 Namemf Funeral HisMzalmDlaFoshiono,o carom f Remains are Shippooll If union than Union: Y Address m No NO pnmiwion Is bemby gmw fe dispow of me human remain*JeacibeN above as lndiu . oale Issued W221 20 Regmm,ol Vital Statei[s '.b.'6a,1RpFrv(IF/snan;mrty sgnN/ f=ww Durna Norman 5725 Pre" Granulevoss" Na"i H,<rmFmmme amain:amemexmixmmmanmae.eaaiapwNam.aaaan:nutmid permsam: w Dab of Mispeshion pwem D'amustion �J w A.rw amMre aaemameai Nm ,eal Semnmrpemnin lhagolPes no e (% ft /�Ij' n Ali w sionam Time r DGx-155firr am3 Public HeMt Lew Sec. 4145(2b) �' 013944 Remip[ Human remains of ------- delivenedon --_. 2Q Noe Yew Cem __ Mod nary Rep¢cemin&Na runeal name na nee on eouypempl Punrnl Direnors Reg_or License �