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Wright, Linda Lee
NEWYORK STATE OEPARTMENT OF HEALTH ^ � Rural of Vital Rawas - Burial, Permit R Name Hm Middle WeLee WXM Fmeb Oatt of RgM1 An Ilvm rm Wu1 Aura forte; 031332@0 ]YYeeY Waro:Oms F Rae of Nwh Hosmul lnnnufwn or CiW TowncrVi GW FFourAaarts[SYM Mne Falhlbglbl WW Mannerof Dowl, MNmral Came ❑Am*m ❑HoRm& ❑s:Nae E]unaaYmiiree �venai:g V Cirtumnenres Irtrtstlnam W Meai:al Fe it Nana Tnle O MaNnvmghaw DO Marea 1W PmF St Gore Falh, New York 12WI Mm CMiIwm Had OmYNum ar Ream-NumM C' ,Townes Vi GMrui'm m] ❑burial Dau Came@:v.EwMo orfxiliry Nme �Emanhrem 06251140 canauvy Marts ©Gemalun Oarmorry Town Near York E]Duration O ❑Pemwal Daft, Nae ReYupS F anamr and Had -� Ham Pool S ❑TmmpoMtiaa Dan of S Yr mmmaa sni m cmYer Deatinauon ❑Monument Care uimMry AMrtas E]M1timemem Due cemeMry AMress Permh issW m gp'ypbv' nxuM+r N,m,f F,r,,l Home Rm, l:mnv S.RaNFanaral H0m mN] Mares W Ol R6 OueemWy,Wes Y,A 138N Name M Fmm Rrm Making Disposition arm Whom ' ♦• Aemainsae5nl IIOIMrMan RL re � Aaaaa: a w u fMrmiaglan mNamMY granted an Elepoa Mms human rMfafYa tleewiMea above aintlimbtl. Deal o 2320 1✓rginrmciviulsfabnk. RPSrYRa/CmMrIM4eWw6y srgmq annual DIMricl Wool seol wa' I ansy Inn me amnia.a f I.amaaem IaemMM aurae aea bl.po=ea m m armamae mim nl.Pemb aa: oaeof Dol 1PAW MaedoisposMm X w a..nw aaamm:,y NamealYMnnmlMsotin Wage d�Remiaa n u 0 w Signature The 0O14155 (WAMP102 � PublicHwlU taw Sec. 4145(26) 013959 ]]I Receipt jHuman remins of - � ✓+� delivered on Wx view Cemetry Repmumiog Ne Nnemn home namW on dmY pv®t OfiaW F merel Dlrtcmrs Reg. Of License#