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Ehnat, John G. NEWYORK STATE DEPARTMENT OF H EAITH A VOIW Burial - Transit Permit Bureau AViel Rxerds Name Him Middle Ian See John O. lam ryy unselfish Am, If VmermMLLSA,wilfor[e; D7911N-T Tye Warm Dus N. va, tHeaM1 M ;Parr ln nnul ZCity,TµnorVii Bw an reared Wanner o ®Naua CauseBmore Yge WaplBl Pending k (j CiaumsYna [me WQ de MeainlCMiAv Name LAB 31eMen OMra MD 111 Crandon9, BenYge Spani96 New York tp9F6 RarM1 4nilkm Flea Oinntl Number Pegine Number On Townm Vill Bea used Burial eau [eirecery,Cremapry or Fac iry Verde �Enlompmend D�IsD2K "e Vlew Gememry Address P OEre manna Tmm.New ynh ❑conatiom o ❑Removal Di Max seemed g_ and/or andm Nela — O Hold Ai N ❑Trans person now Winlef p SAi meM Career ier aninaon �Diainlenders e G OedwrvAdertaa ❑hinurmem we Ceamery,mi Permit him m peglalrm wn Number Nameof Funend Home lemai' nerad Hwrel" M211 Address za Church Smet F o ea Snit.dzb wmm6 Nam Yag does N a me A Fu natal Fmm Meiling Diamond,or doWhom P_ ormain r art 5nl Road.If inner no,rose Permit 6 W W Permission is hereby 0nnbtl to tllWe"bMs bumsn remains tlsmibetl above as intliu[stl. Do,beuea GodUadodo Rayner A Vital Stadiral John Paul Fresh Elemmnidalb Signal ele" ro Dial summer e501 plae SmmQ8p1nm, ryµyyR F Ilmny mm rite rename Adbe eereeem memg:.a ahme were aiaPonamm e.omana wan Ens pHmeo . Z Des ofDis minon sil Plaeof Damidan i saw nennu Iwa+awen v,.i NameAmocramorlamem n(meteW Prem ^ Signature (J � Title IsNm Poll 1555(sla)P I Of Frublie Hestlh lsw Sm. 41a5(2b) 012681 Raeipr Hmvau remains of.� deliveredon , 20 ` Nne YmrvC� � � ReprtxminF the funeral home tumeJ on burial permit M09 Funeral Directors Reg.or Liuncep —