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Benoit, Harry E. NEW YORN STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau Of WMl Remm ` Name FM Middle Lan Yv Pg M6 Adde Dart of DenA Oge[ a B]nYxn Nrt Names, MnNames,H 10ANd MohMmml rt,s nanuo sVl 9p GReNTawn lAwraaotmenn l4meburg Me],SMryCmkTwm,P4w vwk t29]8 ®NI Caua ❑Aamnt ❑Homicide ❑suicMe �uddeMlmmm �I w Gdduuna. I'ved Meeialywmrer Name The GAm.avnn MD Address IW Pam BE GIev FYY,Nam vend IM1 I CellirM Find p,iri[r Number Water Number C .Tmm,mVl Sron Gmak a aunty one dememrv.cremamrydrFxiliry Name ❑mmmbmal o].aaazD nnevlr„cx.mamn Mare„ O(reunion Creamery Town, Nam Yon El tuna Found as Date pone Permanent and/or amlaaew ei fluid Address 0 Q. ❑TransfonanonbyCom Data Warrant Candor n Demands Omer �m,mumrem Dun eemelen Address �salamaaa Dad CedwaryAddress radar I.mmm Rry'Nanon Number Now of funeral Home Growar Funeral Fbme nc WE11 Address z.rnmm Stmm PGBo.nXlt waeme. INewvmmlmen Name.f Funeral Firm Means Disposition mw Whom Ramada am Shippea It Other than Above Adore„ w u Permlamian IN M1xwby grrrW balagmaa of Ne human nN tliM1 ebmve nalnafnNaa. Date Issued hyNarnviMHsmunRs SlAI aNmW I Harrington(Elwmmloally Sarsll lspar� until Number 58H Plax Study cram. Nex van may that,mmaim drum Art gemmed share were dl.pdredm in assonance with ask permitram WData of oisposiuod 7-3-ZddI Phan Mepoeivon 'p"fe JAaNuo cdtgddmN, lwa* w b kegk+l lIlk Nnuv¢b� %arcwMnl 8 = Nameoi Rabnar Pelunln CAaryenPre —P ✓ ✓1 a ,m w s�mawa ,.,T mle DOH-Isss HWKro l Of 013966 Nblic HeaM Law Sec. 4145(2b) Receipt Human remains of ' delivered oa , 2P_+ f NnekewC Rating aM funer4 home naxned on Wnul VCMa Meal FweN Ureewrs Reg. ae Littnse p