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Edwards, Marjorie E.
NEWYORKFATEOEPARTMENTOFHEALTH Burial - Transiti'ermk SureauNYtalgxords Name Fyn Miaak lan Sex E Emem Form,DmofoMM1 Ag x Vmranol US Anneal QRSIM 20 nzveme Waranmr Plxeol xealh INrPnMmnNnunor W CqTamorVlfiW JoHnompTovor Noai myt Elcvmwdar Npm Creek w Manmal ham ®Nmralcoun LJAnimm LJxonkm ❑SukMe Elf in U Cirtumnamee meavion W MMia14naer Name Tnle G Aftftw 112 tltlreu So BCM Ra,Joam W rp Twm,Hew YaM1 I PBp) MtH morVi NNe Oi,bitxumntt ReyskrxumEer C Karat rVi NxmcM Yss tO Burial Ort Cemercry.Cnmamrvor fxiliry Nvre ❑fnmmnmem Arrdor" nnavlewcmm�ory E nn ©cremation ova�ewrvrwm.xHavw ❑uannbn o ❑Remwal tiara Plare Rmmmee F mlor aMlor HeM How Address 0 ❑Transpxram, Vale Poimol nNCommn s l timer oeminauon ❑oiaMxmmm °Y0 C glory Mm,, ❑Wimrrnenl Cm O.mexry AmmS Permalssuab P,mnrxbn Num�r Name Wfumalroire A6mmu EakerFmwm Horm =7 Address MW ran s,WanmvrurN Nw,York veao f R<ammminos am Ship firm ROmr mOiasFnw?norb Wbm ALwe � Atltlrexs 6 W Parmkwdm ie MreEy gMnW W Mlapeaa of We human mararna darmrlL axow u inaiwtW. Um lmsu<d 07Aurzo3V gyslraror Vaal Snistis Arm,,C.Gomfi FE6nrmnrcaPy.Agn,4 epmret Dinril Rumhr ARM Waa NmhGWK New York I army inn me remain,M me eerexm ixmmime amn wen aiapaa m in=aM.ma wim mr.Pem,a me ommorsPosaMn �y„� nmora,Pax n Q,_pl ti race, umaaJ m vewwi xareol5m.mnor Permninrnaw FPremi�a Sumner A/-t Tnw V0x-I%5(0?MPld2 PobGc Hw ffi aw Sec. 4145(a) • 7139R Receipt Hum= rem®m aM, — delivuetl on_— __—, 20 RIlw mcud e� Represwiing Nc(uneral Fome uumetl onb nu ul pemn'i Fcoaaj obmor. rzq. or irtz,x_ _