Loading...
Hutchins, Ronald Kenneth NEWYGNKSTATE DEPARTMENT OF HEALTH Boneu dVUI Reeae ' Burial - Transit Permit Name xm Miaak Last Sea Nemeth NeM1 Humana Mee i] Warm B iI , On AW IIVmranol MSkewr Fortef abes lmlkla51 F Pxe o!@am 61 Veen Hospital lmtn0ron of W Cim Townm Vlll GbuFelb Arefl Address Gene FWy Hommal 0 Man net nl Beau ©Nmmbmwuu AaHmt LjResime ❑SaAde nea 0Penaing uThe WD e em"Itahes wreni Metliol Cenilier Nam Julian MarynvaR atlrtu 1W pah at Glen Felt.lYx York 4W1 Baatn aom,me Fed Boom Number mm NumM, CR.Totem or Nit Gen Fame 5331 p9. EIBuiial Bate Cemererv.Cremamry or Emory Name ❑Emombmem WAlN7020 Pin Vex G,eiretop Address ©Ctomammn Gnsnd4ry Toxm, Ne,Yak El Warsaw o ❑ Removal BTe Plae xemnsea Indoor ammor Hew y Hdtl Reaches,; 8 ❑Ta s wn Bee roim by mmmom sM1lPmen, Cm,ler Deagmman ❑ Doi lmmnm Dee Cenwery Ademss Monosson Over almery/mare.. R,mn luudre Warman Number N am..f formal tame Marred Gwmer Fae,m Nan o1fYa Adores I Imwvme s, G.re.m.burv, Nm,ra,tzaoP Hamem Im ShipFrm Mating than Alwmrw whom h ,¢moms are SM1lP Ed.If Ahrve 5 drew w u PermIsaacs la beFebY MRA ed b llapoae mt Me human rarmal na Eesedled above as indicated. Nae[:sued o>MrzMo Re%,tm,WViulSumm... WakRXb Calm/E'4mm�r✓PyJ,g d/ b mM Blain Number wo1 vkm can Fine, xa.vm ceniry mat rle rtmawe m me aeeeeem iaemN'xa ebem w.re diepme m in aaomenm wim mie�PeJ,mn on: on.m oisPoelmn �f M I Zp Name of DispsMon X i anei w V 8 mWl M M Oae num l N dine of Sexton or Pewn'm Charge mf Premiss] INI Z // MMl w Signnure G-I Tnh ccH-1555(WAR)P x of public Health lave sec. 41a5(2b) � 913993 Receipt I I Humor remains of � � delivu m I A I mzz o�v Rm»auoq� an.rm None a ondorm p:mut