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Carver, David C.
NEWYORK STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Ytal Records Name Flm Mietlk Hurt 4x pane c.Cmar DYeW DeaM POP %VekrMolNSNmeE lease. Ld1BIA]0 B]Yeua Warmness xrea I. Plad DealM1 IbfplaLlnNlWimm Ul clly,Twrnm Nl Wi Toes SVMMEresz 15Fefxal Rel¢RUM,Anson Tama. New York 1207 o M.merdRM ©xmnrnaure ❑Awhem ❑further ❑&nude �uneemnnin<e �PmeirM ereunt%rna I,em lu Medicu QmFrer have rnk 0 Yeb SeuxJaue PA Address Carry Feed,OumnEbury Tram.Nw Ymh 12e04 Doth Deli Find Psbe NumM PpmrNumber <e .Toem orVifthear OAraMNIN 1657 e Kertettt,DMMgWF&ilONy �F❑Enural trout m aeY MR 0L PM Nnw�mnmmry eree O(remnu wmWrn puy Tpm,Ns York ❑ Honmm Z MFuneral Due mamrhm N �r Aaere:: 0 0.Is OTranspwtian Dun Pdmd by(anmm SM1i mum Carrier Rnirutmn �Disintnrcm Ms burner Atltlres EFeinnmrem Om (eneler Address Ferree Headm Reyflra4en Number N,edFumm more µvntlr BaAU Fumnllbmm CU9T Address s&6 Mmn St Wa MT Ner"YOM1 IMF Named Funeral Fare Mern thrown orb WMm F• Femaim are SFl E.ItotMrtlwn Aware iWress as W u FLnnleYan Is llarWY9re11bE [o ElapwmMON,M1Ymm roIFWn6tlxalbW ebova ulnEleaKtl. Dde Inner PaM/NSO Payslrarol Vlul Sera..r 'IFarm`MamnrFfimm�aaPysgm� 4q+rrN Diarirt Number l5ti7 Poor Olnneworne Nw YM I cenilY the IN,nuns of IN Geehm wherefore a W"were elspred of in xwmss her Our prime on: UPOale of Disposition 41K PIxe ofDispsmmn Ate' ME W xamrm W IyfrawuM /Crmsrx/ senamnmveseninua�dwepia.r z 6/ m si¢nnore rat DDha5M won)P+Al 013954 Pobhc Health Law Sec. 4145(2b) Receipt /s delivered on 20s Human temaivs of �,....�--i— piuY Cemeary Ikp n&�he funcalhomommld on�tPe OfiicW Pom2tamtors Rcf, oo Limuu M