Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Atwell, Richard D.
#y t NEW YBBR STATE DEPARTMENT OF HEALTH Burial - Transit Permit Bureau of Vital Beaords Name First Mitltl4 Lear ke Ri 0 Anne Man Was,of RMh Age, I(Vner =S,Armea Forzex CBpyNI'M WVaue Waror Bales Pine of Bealn Hi hismuaon or Z Cour Tmmm Vl pqW:W:e Tv Samt Maress IM Bp Bruok ANNE indent lake To . Naw"Parkrabbi wp MannermBeam ®N„uralGuse ❑heidem ❑IVmebe ❑mieine �Vnhhrmirotl �Pena w annmwnea tureeingn non wMcBal ernfbr Name Tale Wp 9p ,r w PA sears a Cuev P^rl.a®uM1rrvTorm, IMx Ywkl1 oem anlBare Fast Boundlessly, aeyamrxnmber Cil .Tmnor Nl main lab ttil B LJBunal One Cemenry.C"m Nor faci4ry Name �Enbmbnenl m*7T %ne Vve Gemtlwy Address ©Crtnnon Merweury Tmm,Now Ywk El Sonata, z El Demo al Bat allaeR d and/or antlrarlMW OW Assess O N ❑Transrynnnn DatesPointo( by Common Pomna4m Caner E]DlsiwrmeM Bm Camnrveest �14imermem �e �ry Ma... Per l ssuetl la hpArnan Number mit Name of funeral Home wlbr FuneYHome 4llW Morass p5]Nya Hb YB0.ln5an LW, Naw Ywk RbAR Name W Funeral Fin Matlng Oispostiionmm WMm F. nemainsam$hipp ff OnerMw AMae A ddress won is M1araby gnnfRKtdMspsi�n7�djo ed Me M1uman romwna tloecribetl above ae lntllcabtl. uea Wm]✓Wa0 l Statism ToW A Clawpin(Elalronwly Same) 4s"i umber p0; LLYe. xnx YorkThalN:eremains of rte auemma nimard ul in aunNana wn:this PiDisporilB �g-" asiKn I akai a rMari YwnCar Peron In a:[ed (W+vep✓ure JThe COMn555(soffl plena pnmic Hwm �w sec. 4145(2b) U 12695 Receipt ��nn Hummmmwnsof delivere on , 7A es- G Pne Vew Cerawy RePre+entitlg Ne funvallwme'nejof �ulp�t Ofidil FuneN Dirtpms 8egmLlm M