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Silverman, Rosemary L t� 07i6 NEW YORK STATE DEPARTMENT OF REACH Bureau Transit Permitof Vital Records New Fiat addle IaS $ei Pwxne L.9hmmm Femeb D@ARaM Pge I1Velenn WU$Annea Wrtee. osza3cea vYenm w.rm paw en 0 Lwir ..Tmmmmvi Tom Eawad Ta Sma Maam Put Xwaon NUai,q(amw lac wp MannerW man ®Names Cause E]Aalimit �Ibniia �Wdue �Unaterminea �Pentling ad 4nummn:s mcenigation w Neekn Centlir Nana TNe 0 wmn Smooth NF Aaaress 3189otlwaY.FW Ea om 7ow, New Ymk iRms Death Gothi Had pisuin NUZ Wyfer Numhr C joam orw Font Edward 313 '.d ❑Banal Dan Cemeurv.Vemao-ryorFxiliry Name �Emomhmmt OAVIOV) ProVawtrenierpy Address OCnmMion ryemepuy Tow,Mn Yen El Dnn o ❑Rernmal Dale Hare Removed anamr a anaar Rla Nola Adarsas O n Dan roima mpmno Common nM1n Name c o am amm peannauhn ❑Mainstream Dee remwrvaddwa El Haldemanuse CenNerv"Mmaa Permit laanedto Reymmon Number Name at FumalWne Beam FUrasXvairm tali Aaaaa Na Bbal Bn ED3.leke LUmme,New rwF 1z&B Named wm Fnaml Fan Maunepiapnabmnn,wwnnm 2 Rnnainsare Shlpped.IrOMerJwnAWve w AdImeto w W � aemai.mon is M1enby gnnbd bdiepmw of Ne human rammins,tlaeeXbetl above as indicated. Data lssuH 064ave1m Rstrarol Vital Statistics Alm Mornay lElrlr4'nically Stum1 4§mru A mishit Numhr 57d Pore FMEdweN, Newark ertirymn the remains M the deamenrdawned abve mm disposed of in mrdarteMm Sm an on: i w wmd Dinmim, w a] %areal Diapnaifinn Y� wwAn w w.mw """' a,.H sewNam"@tlonor Permn in EM1agWPremi epM9 qpm` INSignature �� Ti1N DON-lssslmAMPlma Nblic Health faw Sec. 4145(2b) oi3ssa Receipt Human remains of ` delivered on_ _. 20J Ptveo Cemetery Rerweseabag rie funeral ry0=namedon banal pumit �cial Fuzral riirvCr rtRe g or Liaensetl