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Gualtieri, Thomas J.
# gy9 NEW YOFN STATE DERARTMENT of HEALTH Burial - Transit Permit Bureau MViAAR&I Name HIM metal, Ian &a mutual I dean M1 I¢ If Veteran 0 US Armed MI OVIZ= 11 1 w....ones f vat,If DI xoapnaLmnx:nuno, z rnv.Towncrrn I Arem Atleren Pp25 oWLW51,Gre ,WWToml Nm YMl3 UPNanmrmoast © w x ,acarse Onamem �Hommae Elm:iee E1oMemrmimtl �rtneinwme nrcmm�anaa m W MM'rcal4Mler Name itN O Andamy ay Mtl:ess vxn sm Me wllaye.New Yen I zoxo oemh Lenilinefiktl 0inne Numhm Xasaw Numhr OnToonnorviflum GmmnWCnM ❑9urnl 0@ Gmnemcremnomor fanun Name ❑Emwmnmenr mnzzwa mmannY Aeereff Ocrtmnon moon Team,lbw vM Elmnmm" 0 0remwn new Nxe PemrreE anNor amebr Held ~ a; Held Patent An ❑Trmfgnnbn Dan Voimnl o ryummnn shiemem caw'�er wfnnmion ❑msincemrem Dace cememw Area. ❑Neminmem ora anrcen Aaertaf IIIce Hewnrmmn mmem, Panel m lni Ennemlxn alum owW Aaeress aazrxp.All, im MJm nnv . York .k,K&I Homed am Se HIrm Namne sham bate, mwnnm r mmams aresmwee.uaxerman Abate, 's Aaerear a w Q. Pelmlaelan Is M1eraby pnntetl btllepox al Ma human remains tlesribatl nbew as lntllpNO. DAelsauN 07=023 Feynrarolvnalstainea Lom✓�Oum"'11+9 4"') lr¢vrunl O'mne Nnm4r 4557 Vlxe Gnenl'takI Net Yon [enilylnntM remainf al HaaaetlentiRnlilietlabre Here tliapoxtldln xxNarc<wMNif{e woaed oifmsmon l U Nsemoiswfimn %iL r` w °' ww xamedmemnnrverann'm rna:eed r:em�aef siyAxnre Than D0x.3555(UM)o so fa PobGc He2116 Law Sec. 4145(2b) ` 012642 Receipt Human mnamms & 7 L y Qr I delivered on 20_ nam m Ceoxu..y arer.,.mmk roe ran:rm nelamed on wmv awn Poneral E mIlln,Reg. orLittvua .