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Waterston, Earnest J.B.
NEWYORK STATE DEPARTMENT OF HEALTH Bunt - Transit ermt Bureau(i ibl ReCards r :( Nam Far Middle lair Sa Oauol LkarM1 P5e If Vesran of US Amled Fortes Dmmom ea cane Wnurwai vinnm vlae of GW rosplaLlnsurWoa or Ciry.ioem"Na G4m Ftln ArMiMresi Gana Farm xwrybl o Manma Done © Net Cause ❑Arcane ❑xmNide ❑suiane W �anei� Cirtumsranas Ineeti bn MMInICMRer Nam Nam O " camber va res Q100. 0 mFeb,NaaYVXlyl1 thaeflaCerfidwari OnC Number 2 NmM CoyT,fnorVil MGMe Fees 322 One Cemeary.Cremarayoe Failiry Name NiINAM Fre Vaw Lremakry �Entombment Addms Chi Quadrant Intent rM Yp4 Duration Q ❑Removal Dan Holdanal Adi y nal 8 ❑ YmD Shama TraoSpx o C SM1i meM Carter Desnlwon ElDallinamem Darm CemremYwareb E3Ritemee Due ltmeary Address Rand Issued In ZNalial Happen Namem Furenl xnmo Ne..ndva.M Fumrel xom. 0L3i Atltlress Na0ni..r.WammYuq. DI :meonor to Name or am Simi.ad Elm If akengMet Dian Name Whom f Bemainsare SM1ippM ll Met Ako'.e � Address 6 W a Permiwien Ubereby granted rotlipoea of Ma human remains tlaeeabed about as lndles[atl. Dare lssuN 07I 20 RgiNar of Viral Bhi aydertA�CLrturFlumm�vndDSgmSJ Vast District Number Mot Da•e' C-0ns Feet, Nmn YM F. enirymalM1eremainsalOFderehnlNmMiN abnrewert aismsMdlnxrwdame wMAispmnilwe W Daleof OlsFasilon 7-2 . 1D Plareal Dlslosxbn ?/?IaAJi efo lwamsl f W Q /wdnl ` � mMaNSG`.'r_ iemMH g Nnw0twimnr in 0Panama J ifi4 /mmemorial w sienna rna DDxlsss cmnel laa wrote Heim "w s«. 4145(2e) 012666 Rxeipt Hmu remms of - � ! � 7�s>ni dcgvemdw 7 . 24 . w4 Bw vmw ccm..tm �tlew<xurwaueNceNlwmewmm�d permir Official FweN Dirtnms Re&m Iittutt tl