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Clark, Kelly Deana NEW YORKSTATEDEPARTMENTof HEALTH Burial • Transit Permit Bureau A Nul Remora: name DT Miadk Lan Xwe Donal Rdh6 uY x velnaenula nee rows ovurroea .m wmn,vme, f nsedmaa, Htwfthdmti Sm pZ M,,mwn DOMl sa s sLMk,d, 6enkp xowlul Mannerol RAM1 IlnaHeimimd RMi W ®Neural Gu¢ �Axitlen, �Nomi[Ne �suAiee � � n6 [irtumAarus ,,nHoPm W MMi[xl RniM1e, Nano TWO G m MD 211 M. 6pXngs Nor YOM 4&8 DehCMfiPeFRA mrxomner Onjown"VAloe S,,wgwmO 4501El Dural one [ememrv[mmMorvwr.iun Wme ❑Em+mnmenl Mom, p[mmalbn .....aurvTwm.NmeYork onna o ❑Rmwal one %u Rmmea anamr anya,xela ~ NOW Adoem pqN N QTrao¢pannian one And a ayGmmon SM1i aca, Gme, De inabn ❑D'mmmaem One GmeMAmme¢ [3Nnmemlem Lore CMe Adare[e h,mll lawedp Pa R"Pm xumbr Name Of funeral Home Cad&M rural Home ln[ Aare, U Man SuM,Po.6w T.Wfwn fan.Nev YorkiA99 Named Fvmr Plm"OR Diso:6un o,b whm f lnmam..m Sh[PPMu ore,maname Weems. D. PermlWon lelwMBY 9rrwtl M dispnu M WM hums rwlulno tle6elU alnw u lntliwlatl. DOW Issued wnXauxW HngrerdvusnRocs luln0.m(ffu^[4lwra[rutiu6yspna9 oiNM xumkr 46o1 Plxe s.abp.spans¢, New York I mrMYma rle reMmsaff"d e M Jenaned ab Me ai¢[ased a In a[¢Nerce Mm Mu pm,mmn: wDmedviwn.aion 71ZIA naadvi[wton Y /l s �Mr w KM" $IN emmr amem�n x.meese.mnreamonmmar¢eolvmmi a Mxn IN sww.e �� rlae Doxn6661mne1Prdr Public xenIIh faw sec. 4145(26) ""' 013979 Receipt �/ ffw remains of r` L I �4 r""I Y` delivered ov L p_ Pive View Ce�me�vy OIficW PLvmlDirt R cen;r4r*=g. all