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Werner, Charles R.
NEW YORKSTATEDEPARTMENTOFfil Burial ' Transit Permit Bureau N VU ReemCs Name Flrst Middle Last 4v Charles R Warner Mab OmolhnM1 Ago NVhranof R&AmMforax, Volml War"1BYeen Mh[ fflioe F PIM,w Oman W[pitatimmion" W [in,Tom or Whose Gbne He SmelMeress rBFMrbn Av ,GbneFW,NewyoM112 I a Mal Di ©waumlQum ❑Mddrm ❑xmal ❑Sul E] E]Penmrc W Gwmnarces Ime . . w MmisAcmnkr Name Title Poi Fill, No Address ]mmisecorm, China Falb,NarYork tzaol Deal Central Flk] oinr[t Numar FgisMwumM CayhowaroxV,mal mare FWa Btz ❑ B"la Di umm:rv.cmnarorvnrFartlinww ❑ Emomemenl o1Z/Azo Flne Ndx Control Adere[[ ©cmmmim Coastal Town,law von El for o ❑ Real oh %u pemmN a ana/m aie/m 14Ie How Address sp 0 TransportationDAe Shimert Kill Deninmun Cal E] nomemam Not Gromary Aatlrexx Femoral Same (emettry Mere[[ Rrmit Inteeb nryNalicn NumEer Nmeo(Funeral Xome r.18141mer Funemllbre-GWm Gbm FYY otoR all 136 None ofn S.CGInr Fa1ki Diffolrk XV Naneorfu Sra olFlrm Mating tian Abor, WMm Wmaimare SM1ipped 11 DlMrlM1anAbve Atltlresx C W n PmnlalGn is Thereby grawtlbtllapow wNe human ramYne tleamEetl ehew eaiMlcaletl. om lxxuee 07122il Ransil Vital Sminirx main Arms Curl(EI¢tiNnlrally Slgno lspame! D,hn Ni Sal Nx< Gains Falb. Nox York F I, iry mAtM remamx M the h[ehnidenonee alcove am instead of in Mistral ail this pomnnnr 2 I iz Plme of Estimation I INw lwxw Ar"mw.n �( ti,.wal gNam orRNnnr North,ln Garye MP I� s�gmm�re Tma k WH tssslmhal ptwz Public HealO Law Sea 4145(2b) L j Receipt f Human remain of l-kc5 vim : '•.—: delivenWon — . M-`1 1 1 06xiMo Cemekry Din8�hefwWlame nametlmduiel pemti� 1 il Pom%I Direttcm lteB wW nssY i _