Loading...
Dickinson,Olive Sandy lfsff NEW YORK STAR DEPARTMENT of HEALTH Burial - Transit Permit Bureaus[VilalRawds Name E' wwdle Ian Y. w-ra 5e dawm OaIeA MIM1 Ig Il Vetere AUAA"M rt mywe wermpmea F vl:eARnn Illue imirtonm 2 CtI.....VOK, NMhmAYear SrtMAddren aM9 WMe 5p.NwlnumlunvA Tw:n.Ncr VdM 1RB31 p Marmon hSM1 ©NAmm Cwu pAo ihM EjmMKi& p5uki& pUnsotminM pRMIM EDum.ortume . Doorman, ow MCEiol Onifw Name rare Manal Nary Man, 211 St 5malge Spence,Nan'Yana Into Death fe�INne w4a 0irtnn Numbr Ne(bN Number Cap Tram orVlll e man 11 "feararb Cem kn hmmaloryet r",Ly Name El beat Natea Pine Vow Crematory p Dormant ©Chosen, o.eamhmy Town.la"Yom ElDnna OpPemt, rem vlahmosrea y t Beer NIola,, Addon gp,ra„pmNnn Da^ PoimA o byrt on Shipman ones ItesunMM ❑ oinnkment Dale O,m,q Aaaren ❑hentttmem Date umMn Aaarcn metal Issued to RharaU on Nutriet Mamem oe Farm,[Nome Comesbuu freeman fare Inc NCw' a mama W M1YW Arn,Samuel Dart'.me rN I she Name of fu noral firm Makes Or s astrom or to whom Nemama am shire aB Other fir,come f orders IFan a Permission Is hereby grmtad to dispoee of the human mains EeaWbetl show an indicated. Cm lured xeynrarAVo[Shvini: gave pm-mpfy'Elrremeray.fpm9 4Auwel Mouth Nnmmt 4m* Mal munmrian Tom. xw York I eenavthn tM remamol me 4werem leemiNM abee*am ai:voaca ama¢Nu[ewirM1 IM,area mr Wom ombpahpn N=e of Dimomon Other b6kd2 fa w a ,..tar Mem n m amr gN...ASenonorvenm lnu Avre, i meets m sesnemre he r;i DDNs55loproprole 012626 pobllc Health Law Sec.4145(2F) Receipt �( �—� livred an 20_ Hwnan remnlns of dee —= wn,�m�n v wKa�� t Fovnal Dirtctms�a8. or Ws j ttm Vwspwvicep Man