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Schmidt, Margaret E. NEWYORK STATE DEPARTMENT OF HEALTH 7Mao Bureau oar Vile Remm. Burial - Transit Permit Name Flm MmdW lyf yx Mar n1EyNaM Fmray Dee of RtlA AM M Vepran of lJ&Amer Force% (mrU2)n20 9OYears War or Drams F Plam of Rae Xssprak Inmrufionw IN Li .Toenw'Vi Oueena[u Tvm Street Address >1 Lmlrylexprhy 161, OuwamryTw.ry Nor YXt 1RW 0 Mannmd Rmn ® Neural Camara ❑Aaeem Li iee ❑satfee LIImaeremime ❑Pentlim WMNir.I lender Name cirtumnanres In 0 me amrmrnene MD Address 3lmipeb Corner Alum FNk,14MYorklefal Rae Lemfxa@Fiktl DisNONurner ggMNweer C' .ioemwVll Ouepi U57 13e ❑Buaal Dw Q q.."',way or remarry Name ❑Emomhrem [114mar3O Flne Vlrxtnmsbry "NearO Fremb aa gmunaWry Tmm,Nee Yet El Maurer o ❑dal Rm Plallemi F antor +war New Nde Address BQTranspormew D' Broad a eymmmon Sh nm Carrier Rmnikn �Rsinkmem Rh Temdery AWgesr �Pn'rmnnem W@ caekry Address Permit lssuedm flgsNlim NumM Nameo(Fumal Home kegan Oumry SbXW FursYlMna Ofaad Atltlresa SJ OuuFer Po,OueenWury.Xw VM 13OW Nameof Funeral Fvm MaBng Dlsmrition orm Wlnm f Aemalnsm Shi led.noaurmanAmre s Aeerear w 6 PermiWon le hereby arrrM1E to dipoce of We human remains deenlbee ebuye ae lrMloleE. One Issued 0WMR0A p gnrpAViMl Sarirfur (mMin Nraamwa mueen lS wairvRy Sv,,O lrpame, mmin Number sear hxz MaoeneOury. Xw Yak F lamrymdee remainrdueaLaRmwemireaanaee a.reairPn,eedin..a�d.�.nminiel.rm�aon: W Need wr ,omr, 4hvlm PlaofPywhon i Ha L W 6 %bJ lM lnarereme'/ gNa ed4mnarMmin Dug d r W SigNurt �(� Tme PoI 15551m/WP1dr wbrexe,lm �,vsa. 4145(2n) 013952 Receipt HwnsR remvns delivered one Ceffi W Ceme¢ry Repres�Ing the funeN homeJTnn ly�uhW Poneod phamm Reg. or Ui rea e�