Loading...
YeckleyJr., Robert Charles NEWYORK STATE DEPARMENTOF HEALTH _ Burial - Transit Permit Bureau of Vital Records yMEM Name Flm Miaah we E x Mae mwY Oak of anA r Ave R When,of US Am:W hrtex M lAr cad nveae Warvn@, f vla,e of MM Not ms:wfwn o, Twat.Netted Yank 1200.Y z colv.town"Vif Tom Sma Aeem„ z SteemisLa:e.OueanWW Manne ,t §0Natunf uu. ❑P¢Nvnl ❑ mm Iglae ❑Imiae ❑OrMefmnimd ❑R: dd wmmm., m.dniralmn MNI,aCmma, Name role M.rvsmn NP address e oy Am.Weered:ry Team.r G Ywe t]BM uembanr,mvi@e oiamn NumM, NrymrXumb,r c .Tovnmv2 Qum Me IL ❑Banal Dx4 QmmnY.cremml^,fYilNy Xem E�mmewm °�"� ��rmnXMry ©cre.amn pmmwrrrvrwn,xwvom Dand"on ❑Nem , I Me and/or m1b,NeN m Hold Aedre„ ❑rmmpMnn °"e Need by mm:rom cemim.aom tee, ❑ u@ :enry Aeem„ ❑Ikimermem Date 4mmryAbaress Permit l„nee to pegi9 ec rn Neater Nat nne,m Nome MavnvdpGmFursMlkne p��m AdWen Nameooeesv arm.mmnrv. Ne.Ynmizeot lfunenl Flan Mating D'up,iu rIoWbm f m re5M 41f WerfAm Aloe $ Aad,m x ad M PermlaalPn Is bembY grwtee to tllapew of Me human merandtfirs memMlbam ebmw wiMlcaNtl. DmHead MyenID Warfare rwf 5lmi,fk, cvobu made amid,t=± •HY"'O Minn Numb,, SWr Flee aawuNry. emyrat I cent that the remain,orNv decedent headline theme me eiswad ot in mmdamenXnull ervmmnmuanMa N_g 're rwN rNe Pe D"olup,itinm ml WMot Swathed IS s�n'vn fpW SNu ooN-1555lmAMP10¢ 1 Public Halm caw Sm. ala5(2b) 013947 Receipt Human remains of delivered on Fire ViewCemalery Repoemmi;the luneml home vamr4 on bunN t ��� Fumzel DIrvg Wse ors Reg aenN 'Z