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Adams, Anthony C.
y H/ NEW YORK STATE DEPARTMENT OF HEAL74 Burial - Transit Permit Bureau of Vital Records Name FiM Middle La51 Eea Mtlwn C.Mmre MW °Aeo(aaN Age If Va alUSAraaFortei 0]T2GA 81 Yeve WmnorarOWs Plxe of Dean IbspNl msautonor Z (itu Mimorulep raeawmniToimr Lrtn>ddress EOO Fbwe Bme. la4e Lu]arro Toren. New YOM1 1RN9 Mummer W Denn ® Near rat Damon AeeWnt ❑Homicide ❑wkme Lj BndWmir �Peneine awm ae my Medipl QnMer Name Title Comma Concert Cmrwer Address KO 9 Rowe B,leke Gww TOM New Your 12815 Death@NRak Fied °Irvin Number PryRrNumMr ftTowanvViRom LW Weave W55 nBwal Dace Cemarery.Lremaom or Fxifly Name E]EMomnmenl O]/e922] Pire Vow Gmmelory Andres ©Cremamn amnaWry Down.Mom'You, mna o ❑Removal Om %ze Rm,wd a avatar =rNW laid Amre55 �TMnsparYlion DIM $M1iMmeM a]mmman Carrier DeAinaun DifinlerrtaM Roam Q wer/Address ElReinmrmenl DIM QmeurYAdareii Permit Issued to &gisVmon Hmmbr Nameol Fummal Nome arexer Fun Nomal¢ Gw11 Andrei 24 Cnu(Ch GnM PO Er,,5a],teb Lueeme, NMw YaM1 1'diB Name W Funeral From MaW{Dirpru ionmm Whom Lins are SM1ippe6110M[:IFenAWveiiiaion is thereby granted ro Glynn of the hump no Gentb" above as indiMed. Hmm mAhi Wiiaberm vital sminia Cynthla SAvwnotl lElegran{ely 5inntll n Number 5a55 Bu hap weenie. Nw Ywk y Mat tM remains at the dwai idenlRied above rwere dispud N in amraaar nin Nh permsam l Oi5po5?n 'J.7p -GPM Plwem°i5pohilun ]N/W7u]n al Eemumon,raon in a Mvemims /K mre TiNelmNlplW Public Healm Law Soc.6145(2b) 012674 Receipt Human mmaius of _ — delivered on - , 2OP_ Fi'e View Cemetery Re.Wevnnu8 aw tureN bmue°ened m W Fmun ORcial Fuced Uhecmms ft m ro LicseO