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Walden, Robert Eugene
NEWYORK STATE DEPARTMENT OF HEALTH a Bllfli� - Transit PermitBureau of Vital Reco'Es Name res Mitlmi Ian 5v ROMrI em WWm AYIe Daleol DeMM1 AY IfVmranolS Armed 4-1968 i plai ofID GYw Warorpakr 19511959 Hi H Gro of Sa,maddreasl Glaw or 2 Ciry,iown or Vi Gains Fa $IrtnAEErtss (Vern Fella MofOilel AdManne,a OeaM ® III Cause Makers ❑Haniade ❑%%Bide El Grtumnan¢s uoamer = Elvandmdt V 0 NNiral Cni eNer Name Tllle Ime s ion Ass"CM1Wp WI 100 Fork an 61ma Falls,Ne York 1x York ID]t Di Connote filed p9nn Numbr Rrysler Number CI ,im'marVill GMm FYY Eaton areal ❑Burial Dale Cemererv.CYri or fail"Nme ❑Brennan 071012020 proV Crematory Address ©Cremarn w neu ream,Nam Yen bomeem o ❑Norman OM Nashm andror meadowlark y Hold Address D.0 wal N QTrompomfwn Dine Cam O byfarnI Cam. Carer DatiN4an �Nonseasonal fear [enNny Adhss ❑ ReinNlnrem Dark CenMyAd]nu Pi Issued ka Repjmm�n Number Namedfunerallbme Al"Hi Baker funxtl Han OW37 Address M09 Main St Wmiandm ry, Nex York IMS Nameol Funeral Firm Makin Dili orb Whom F- Remains arsWalked,If OlMNar AWrx i Assue 6 W Q. PemNWon is Hereby gnndW to tliepoaa of the Numen romeine described above as lntliubtl. alkali 011122020 Rannor of Viral usual, 'RVdertAb @Ni(Fl[ctmmve(ly Sgrv9 4§uruN Distant Numbr son III Glere Fella, Ni IttmM thin tMremainsef the seat idened M same were disport in mvMamewRM1 Mu somehow..Partial Diuma ioa 7161W xmeoflespomion IN ZAli E Nk e+rl W W BE 1 Mnumler/ /pertrmWetl Name d k kan or hrm in CN tFromixa ti AM1G IN �/ M Spnawrc UA Tde -hu WH 1555l1 P I Of U Oi Law Sec. 4145(26) 013980 � ains of 1<C�+- � i^ � deliveredon ' ' pp� RryrepeoiingMeNnaWM1omenamedondviwpsmtit Fanual Direcmrs Rego,LiauseX