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Brown, Sheryl L.
4103 AEW YOXN s,RR OEPAR MENTOF HEALTH Burial - Transit Peet Bureau ofVRal F¢md: Name flm MiMk last ka 6M L Board Date nI M1A ig NVmmoI VSNrmeE fortes. Board Dvarzam Bryan, WarorDms f nx eDuth xosp kinm wor Z Ch Tamor Wll Had Tam 4rtelPWrtss B]Bl RauMeN,FWIry Twn,NaxYwk 1EB95 p M"W'd GmA ©Natural Cmw �aiaen UIbmkiae �Sukiae �Vnaaemtitcea �n aiM W Clnumslamesmmadon W MCEInI(enNier Name RAW OLum Add,,,ao Ia mom Namm�e Nouueam wl,awam,xw Yen lme ush Onkfilde Due DiNNHunM kysar Xumtrr Ciry,lwnor Vill ` Hand Dow Cemoln.Cremdory a Buren Name �Emambuetn Dndres, cremaay OCremninn Queersnury Tam.Xtw Yank Board, ❑Pemmel Dam Place Nnmren anebr aneprHle ~ Nola rertss N gplrw'mmaon Dam Same wCommo CeWnaoen SAI nre Hamom �numerous Dw Cemetery Maresi [:]RittHnenl Dan Cemetery Ratlreas hMRIanxam Pe PAmern Number Nameol Flxral No a Demurrer Formal W3I nmre. 30 Cnutq meet Po Oor Boa,Lake Wrens,Nw York 12W Name of Funeral nrm Mating Dismrilion or to Was, Bemainsate Nt 6N Omer Law Pbrc $ Mtlresa S W Q. Pannlrlon Is M1enby pranbtlto tllnper of Ma human mnelr Eavllatl ebowrinOlutW. Datei"u,l nuo w1ima,m V'nalsta ncs 4Rofa§JMaCfE4etrme°y S@W/ Board Number 4350 Place Hewer Nwya ennymallne rematnanmeeeunmtieentxiee aeo..rreei.mttaain maraaaewtnlni. ten zDam rcomp akar Ham. %p:rsr m a!re r W nnoaeorrl rrar..mr gNaueol5eronerhnonln CAar aPmmir •� E• z DOFgnaute DDNa0551o1P0IN1012 012696 `11 Public Health Lew Sea 4145(2b) { Receipt -- ill delivered on ' Z0— Hdmed remdlus of _ 1 1 pryneeentiog me tuoeN Mme nerted on buiil V eft Piney Cemdery FuoeN UW 1^rs ReB.or Licevep mcial