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Schmid, Albert Frances
NEW YORKS7AIE OEPARTMENTOF HEALTH M Burial - Tranftsit -76rfnit Bureau a Vital 0.emms Now First Miaa@ Last xa AOMllmm, mx MM Uahol RaM pee x Veteran a US head Rrtec W Yeas Waterloo, 1451-1996 F %sea psM1 lhspaal,I"Msm o, W Ciry.toxnorYulage GN,w Fate Reer Ackh ss GMrmfW HwpYI W Manners Ce.6 VIxalural Cause ❑Auarm ❑xomiax ❑%Lot& 111Umnnoircn land eanmaa"a, Fee o Mmh.lanir r Fame The MVIWnitl6a For Address left Port�I Gene Fay Nev York 1M1 BeA6 Ce"ni1M FiMe oiarcl xumbe, NpN,Numw CAY.TmAorvAral, Glare FtlY 36 LjBunal Boo lenielerl.Cremabryo®Fai14 Nam �Enbmbmenl OA"15pM Po^e Yrew Gmmffiry Norms ©CMMm, GuemLry Tom.New Yon Nomura oORmewl Base Place hmo N and/or a,dh Fa,I N Ford mores O 1 0 ❑Transportation BM PoiMal o br Common ui Canner Beninaemt ❑Bi,inhn"ent Due u"aMryxddre„ �Famemnm Done umaMrymere,r pemit ssueem Mamma Numm Nam a Eune,M Floor, Mgwa rs Imar Wnral In ons) Address 11 Lausanne,St iuoury,taw Yn,k 1)Bxt Nano of Funeral Fnn Mature Bi mme,rb Wbm f Rusts neare Shipped,ff entertain Akre mare„ Fratmlden Is hereby gmW M elepow W M. human hanains aeuxesel allow as inaipNO. BmFrsma Muroran F,glMora YylSmMN, aasm,r�rvnuf+t,..n�m,au� apa,.ml Marks number Shot prase Goon,Faso xwY ry I reality uatteremain,,[the aecekm iaeaiFea moresere disposed of in uondanre"h this serm1&Pm M Disposer;Disposer; I4W Pareafeispsium am") Mrb/ lxenumfl M� Name of Yon or Person in ChaiseieM$bonus / P• 2 /J qa/ p Solatir nU °1 zlnanre That PoN 15551aI0s1 p I NI Public HeaRh Law Seo. 4145(2b) Rxeipt Human remains of ddivetedon-, 20 Kne View Cemetery Rpmsemylg the numeral home named on burial pennit O C d Funeml Gimctots Reg. IF License i