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West, Julia M. . _ . 4913 NEWYORK STATE DEPARTMENT OF HEALTH _ Burial - T Transit Permit Bureau of Viral adores mi Name Fim Mib]k Nn Ft M.WM F«nela iofDeam Age nv amnd usAnrre rarzec lm]0 TSYem Warw Cems or,,,of mull Nospnal,IrmlMbna Z rry.Town or Vino{ Fpl Mn roan S11MMertfr apry Nx Board,Fad Am Two.Wx York 1382/ Memo,or With ®Natal Came ❑eaeem ❑demcYe []Siall ❑fNxuau�mstar�e ❑Rnd!6 W MNiud CenAler Nane Tide O Welam TSLm NO Address J lrongar¢Canal,Nam Palo Ni YM RUN Deam Cenniare filed 111 it Number Pagner xnmh, C' .im"'ViN Fri 3164 1] Burial Oae Celllelerv•CrenliwyorExniy Nave ' �Emarbrrenr willoNN FMNwa Ll Or Auldress ©CremNm Oami Two.Ravi WnAim War Ede Me Xeld ar a n S few Address 8pimna m� um and S nt mm Cam" Nand co Nn �Di.imemmn Dim materY Address �uimamlem Date celmmAeeaaa permitlsimo W hg5raion Ni Named FumadWme Mun FumYlkns 01117 Aeerea raGvyAPoBal FarARWxwW 1roarn I Name d FuwM Fml Ma4ry Dispslean or ro W lum pemeis are SAi NOIMNm Male Address 6 Permlaebn is lxxeby Nutted to ddapwe of the llumm ram nil dpdrtbad above a Indicated. Wmissue-0 mliaii Re®warof VaOY usis Barbara l Wlalrell(ENOra llY Slgad) 1.5nnw Owner Nui W& Pwa FonAnn, emi I cMilYrliar0eremdnsAtleh edzm kentilitlaxreeaeSsm�Sd'm amka[exMlrFia wmlNue mmdw,paxn ]'// %�° Pw dDiaPoabion 21 ocanoViii cis /-� T .m pum SA+, fy..awwd swim nin< a /fmies Tide Oro eA40 famaww MNa5551olNBl ptda Nblie Health Law S«Ala5RM1> 012606 Reaeipr Hmnan remains of _ _ delivered on , 7p�0 Fme Vlew CcmHery Nwrtsemior the(wuzlh mm mn ame naedbunilpa mcial Rehear D,rcbc, Reg. IF License Y—.